A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching? Select all that apply.
Apply intermittent ice to the affected ankle for the first 48 hours.
Wrap the affected ankle with an elasticized compression bandage.
Apply full weight-bearing on the affected ankle.
Elevate the affected ankle above the level of the heart.
Apply a heating pad intermittently to the affected ankle after 48 hours.
Correct Answer : A,B,D,E
Choice A reason: Apply intermittent ice to the affected ankle for the first 48 hours
Applying ice intermittently to the affected ankle for the first 48 hours helps reduce swelling and inflammation. Ice should be applied for 15-20 minutes every 2-3 hours during the initial phase of injury management. This practice is part of the RICE (Rest, Ice, Compression, Elevation) protocol commonly used for sprains and strains.
Choice B reason: Wrap the affected ankle with an elasticized compression bandage
Wrapping the affected ankle with an elasticized compression bandage helps to minimize swelling and provide support to the injured area. Compression bandages should be snug but not too tight to avoid restricting blood flow. This is another component of the RICE protocol.
Choice C reason: Apply full weight-bearing on the affected ankle
Applying full weight-bearing on the affected ankle is not recommended immediately after a second-degree sprain. The ankle needs time to heal, and weight-bearing should be gradually reintroduced as pain and swelling decrease. Initially, the client should avoid putting weight on the injured ankle to prevent further damage.
Choice D reason: Elevate the affected ankle above the level of the heart
Elevating the affected ankle above the level of the heart helps reduce swelling by promoting venous return and decreasing fluid accumulation in the injured area. This is an essential part of the RICE protocol and should be done as much as possible during the first 48 hours.
Choice E reason: Apply a heating pad intermittently to the affected ankle after 48 hours
Applying a heating pad intermittently to the affected ankle after 48 hours can help increase blood flow and promote healing. Heat therapy should be used after the initial acute phase (first 48 hours) when swelling has subsided. Heat can help relax muscles and reduce stiffness in the injured area.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Testing new nurses for exposure to tuberculosis is an example of secondary prevention. Secondary prevention aims to detect and treat diseases early in their course to prevent progression. Testing for tuberculosis exposure helps identify the disease early so that treatment can begin promptly.
Choice B reason: Providing treatment for clients who have chronic obstructive pulmonary disease is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals with chronic diseases. It aims to reduce the impact of the disease and prevent complications.
Choice C reason: Performing screening for sexually transmitted infections is an example of secondary prevention. Screening helps detect infections early, allowing for timely treatment and reducing the spread of the disease.
Choice D reason: Administering influenza immunizations at a local health fair is an example of primary prevention. Primary prevention aims to prevent diseases before they occur by reducing risk factors and promoting health. Immunizations help prevent the onset of influenza.
Correct Answer is A
Explanation
Choice A reason:
The statement “Chamomile may act as a calming agent” is correct. Chamomile is well-known for its calming and sedative effects, which can help reduce anxiety and promote better sleep. It is often used in teas and supplements to help with relaxation and stress relief.
Choice B reason:
The statement “Chamomile has anti-inflammatory properties beneficial for treating skin disorders” is also correct. Chamomile contains compounds that have anti-inflammatory effects, making it useful for treating various skin conditions such as eczema and dermatitis. However, this is not the primary use highlighted in the context of the question.
Choice C reason:
The statement “Chamomile decreases cholesterol levels” is incorrect. There is no substantial evidence to support the claim that chamomile can lower cholesterol levels. Chamomile is more commonly associated with its calming, anti-inflammatory, and digestive benefits.
Choice D reason:
The statement “Chamomile can reduce nausea and vomiting” is correct. Chamomile has been traditionally used to soothe digestive issues, including nausea and vomiting. However, the primary focus in the context of the question is its calming effect.
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