In regards to musculoskeletal injury treatment, R.I.C.E. stands for.
Rest, Incubation, Circulation, Elevation
Rest, Ice, Compression, Elevation
Rest, Incubation, Compression, Elevation
Rest, Ice, Circulation, Exercise
The Correct Answer is B
A. Rest, Incubation, Circulation, Elevation: “Incubation” is not a recognized component of musculoskeletal injury care. Circulation is important physiologically but is not part of the standard R.I.C.E. protocol.
B. Rest, Ice, Compression, Elevation: R.I.C.E. is the acronym for acute musculoskeletal injury management. Rest minimizes further tissue damage, ice induces vasoconstriction to reduce swelling and pain, compression limits edema formation, and elevation uses gravity to facilitate venous and lymphatic return, decreasing inflammatory fluid accumulation in the injured area.
C. Rest, Incubation, Compression, Elevation: Again, “Incubation” is incorrect. The term does not relate to acute injury treatment or inflammation control.
D. Rest, Ice, Circulation, Exercise: While ice and rest are appropriate, “circulation” and early “exercise” are not initial acute interventions. Premature exercise may exacerbate tissue injury and bleeding, delaying healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 200 mg every 6–8 hours: The child weighs 49 lb, which is approximately 22.3 kg (49 ÷ 2.2). Using the recommended pediatric ibuprofen dose of 5–10 mg/kg, the dose range is 111–223 mg per dose. A 200 mg dose falls within this safe and effective range, making it appropriate for the child.
B. 250 mg every 6–8 hours: This dose exceeds the upper limit of the recommended 5–10 mg/kg range for a 22.3 kg child. Administering 250 mg could increase the risk of adverse effects such as gastrointestinal irritation or kidney stress.
C. 100 mg every 6–8 hours: This dose is below the minimum recommended dose (111 mg) for a 22.3 kg child, which may result in subtherapeutic effects and inadequate pain or fever control.
D. 75 mg every 6–8 hours: This dose is significantly lower than the recommended range and is unlikely to provide effective symptom relief. Using such a low dose may require more frequent dosing, increasing the risk of dosing errors.
Correct Answer is D
Explanation
A. Heat Treatment: While local heat can help relax muscles and reduce mild pain, it is not a systemic analgesic and may be inappropriate if there is broken skin or risk of infection. Heat could exacerbate local irritation or bacterial colonization at the site of cuts and scrapes.
B. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) effective for pain and inflammation. However, VS has impaired renal function, and NSAIDs inhibit prostaglandin synthesis in the kidneys, which can reduce renal perfusion and worsen renal injury. Using ibuprofen could be nephrotoxic in this patient.
C. Naproxen: Similar to ibuprofen, naproxen is an NSAID with analgesic and anti-inflammatory properties. It also carries a high risk of nephrotoxicity in patients with pre-existing renal impairment, making it an unsafe first-line choice for VS.
D. Acetaminophen: Acetaminophen provides effective analgesia for mild musculoskeletal pain without significant impact on renal function. Since VS has impaired renal function and only mild pain without inflammation, acetaminophen is the safest systemic option, minimizing the risk of further kidney injury while addressing discomfort.
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