A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.)

Alternate the use of ice and heat.

Apply ice pack intermittently.

Do not place ice pack directly on the skin.

Leave ice pack on for no more than 20 minutes at a time.

Answer and Explanation

The Correct Answer is B

Choice A Reason: Alternate the use of ice and heat

Alternating the use of ice and heat is not typically recommended for the initial treatment of a soft-tissue injury. Ice is generally used during the first 24-48 hours to reduce swelling and inflammation. Heat can be applied later to help relax muscles and improve blood flow, but it should not be used immediately after an injury as it can increase swelling.

Choice B Reason: Apply ice pack intermittently

Applying the ice pack intermittently is important to prevent skin damage and frostbite. It is generally recommended to apply ice for 15-20 minutes at a time, followed by a break of at least 20 minutes before reapplying. This helps to reduce swelling and pain without causing harm to the skin and underlying tissues.

Choice C Reason: Do not place ice pack directly on the skin

Placing an ice pack directly on the skin can cause frostbite and damage to the skin and tissues. It is important to wrap the ice pack in a thin cloth or towel before applying it to the injured area. This provides a barrier that protects the skin while still allowing the cold to penetrate and reduce swelling.

Choice D Reason: Leave ice pack on for no more than 20 minutes at a time

Leaving the ice pack on for no more than 20 minutes at a time is crucial to prevent frostbite and skin damage. Prolonged exposure to cold can cause harm, so it is important to limit the duration of each application and take breaks in between.

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Correct Answer is A

Explanation

Choice A Reason:

This is the correct answer. Long-term GERD can lead to Barrett’s esophagus, a condition where the esophageal lining changes and can increase the risk of developing esophageal cancer. Regular surveillance by a GI specialist is crucial for early detection and management of Barrett’s esophagus.

Choice B Reason:

Monitoring for liver issues is not directly related to GERD. While liver health is important, it is not a primary concern for patients with long-term GERD.

Choice C Reason:

There is no direct link between GERD and an increased risk of diabetes. Therefore, follow-up with an endocrinologist for diabetes risk is not specifically relevant to GERD management.

Choice D Reason:

Pancreatic cancer is not a known complication of GERD. The primary concerns with long-term GERD are esophageal complications, such as Barrett’s esophagus and esophageal cancer.

A. Autoimmune disorder affecting the bones B. Buildup of inflammation in the joints C. Increase in calcium levels in the blood D. Bone loss in the cortical and cancellous bones

Correct Answer is D

Explanation

Choice A Reason: Autoimmune disorder affecting the bones

Osteoporosis is not an autoimmune disorder. Autoimmune disorders involve the immune system attacking the body’s own tissues, which is not the case with osteoporosis. Osteoporosis is primarily characterized by a decrease in bone density and mass, leading to fragile bones.

Choice B Reason: Buildup of inflammation in the joints

While inflammation can affect bone health, osteoporosis is not primarily caused by inflammation in the joints. Conditions like rheumatoid arthritis involve joint inflammation, but osteoporosis involves the loss of bone density and strength, not joint inflammation.

Choice C Reason: Increase in calcium levels in the blood

An increase in calcium levels in the blood is not a characteristic of osteoporosis. In fact, osteoporosis often involves a decrease in bone calcium content, leading to weaker bones. Hypercalcemia, or high calcium levels in the blood, is associated with other conditions such as hyperparathyroidism.

Choice D Reason: Bone loss in the cortical and cancellous bones

This is the correct description of the pathophysiology of osteoporosis. Osteoporosis involves the loss of bone density in both the cortical (hard outer layer) and cancellous (spongy inner layer) bones. This loss leads to bones becoming brittle and more susceptible to fractures.

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A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who has osteoporosis. Which of the following should the nurse recognize as the pathophysiology of osteoporosis?

Correct Answer is D

Explanation

A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for? (Select All that Apply.)

A nurse is working with a nursing student to care for several clients who have musculoskeletal injuries. The nurse should identify which of the following functions of the musculoskeletal system? (Select All that Apply)

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A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.)

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A nurse is preparing to admit a client who has a new diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?

A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?