A nurse working in an emergency department is caring for a client who has third-degree frostbite to both lower extremities. The nurse should take which of the following actions?

Massage the legs.

Apply dry heat to the legs.

Elevate the legs.

Immerse the legs in cold water.

Answer and Explanation

The Correct Answer is C

A. Massage the legs: This is incorrect. Massage is contraindicated as it can cause further tissue damage and is not appropriate for frostbite.
B. Apply dry heat to the legs: This is incorrect. Dry heat can exacerbate tissue damage. Rewarming should be done using controlled, warm water immersion, not dry heat.
C. Elevate the legs: This is correct. Elevating the legs helps reduce swelling and can prevent further tissue damage. However, rewarming should be done carefully in a controlled environment.
D. Immerse the legs in cold water: This is incorrect. Immersing in cold water would worsen the frostbite. Rewarming should be done using warm (not hot) water, ideally at 37-39°C (98.6-102.2°F), for effective treatment.

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Correct Answer is B

Explanation

A. It typically does not metastasize: Early-stage testicular cancer can metastasize if not treated promptly, so this statement is not accurate.
B. It is highly responsive to treatment: Early-stage testicular cancer is highly treatable, and many patients respond well to therapy, making this the correct statement.
C. It is most common among men over 55 years: Testicular cancer is most common among younger men, particularly between the ages of 15 and 35 years.
D. It is one of the least curable solid tumors: Testicular cancer, especially when detected early, is highly curable, so this statement is incorrect.

A. Increased vaginal drainage typically occurs 5 days following surgery. B. Sexual intercourse may be resumed in 1 to 2 weeks. C. Artificial lubrication can be used to treat vaginal itching and dryness. D. A Papanicolaou (Pap) test should be performed every 6 months.

Correct Answer is C

Explanation

A. Increased vaginal drainage typically occurs 5 days following surgery: This is incorrect. Vaginal drainage usually decreases over time after surgery, and increased drainage might suggest a complication.
B. Sexual intercourse may be resumed in 1 to 2 weeks: This is incorrect. Sexual activity is generally advised against for 6 weeks or until the healthcare provider confirms it is safe to resume.
C. Artificial lubrication can be used to treat vaginal itching and dryness: This is correct. After a hysterectomy and oophorectomy, vaginal dryness is common due to decreased estrogen levels. Artificial lubrication can help alleviate these symptoms.
D. A Papanicolaou (Pap) test should be performed every 6 months: This is incorrect. After a total abdominal hysterectomy for cancer, Pap tests are generally not required unless there was a history of cervical cancer or other specific indications.

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A nurse working in an emergency department is caring for a client who has third-degree frostbite to both lower extremities. The nurse should take which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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