The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:
has a wound that is bleeding.
has impaired sensation.
is experiencing spasms of the calf muscles.
has an active, localized inflammation.
The Correct Answer is C
Choice A rationale: Heat therapy is generally contraindicated for a wound that is bleeding, as it can increase bleeding.
Choice B rationale: Heat therapy may not be appropriate for a client with impaired sensation due to the risk of burns.
Choice C rationale: The client who is experiencing spasms of the calf muscles can benefit from heat therapy, which can help relax the muscles and reduce pain. Heat therapy increases blood flow and oxygen delivery to the affected area, which promotes healing and reduces inflammation.
Choice D rationale: Heat therapy is contraindicated for the client who has an active, localized inflammation (D), because heat can worsen the inflammation and increase the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Medication concentration being half of what it was when administered is not the definition of the trough level.
Choice B rationale: Medication becoming toxic is not the definition of the trough level. Choice C rationale: Blood serum drug concentration being lowest is the correct definition of the trough level.
Choice D rationale: Highest effective drug concentration in the blood being reached is not the definition of the trough level.
Correct Answer is B
Explanation
Choice A rationale: Promotion of oxygenation by enhancing air circulation around the wound is not the primary treatment for a "yellow" wound.
Choice B rationale: Removal of nonviable tissue followed by a moist wound dressing is the expected treatment for a wound with yellow color, indicating the presence of slough (nonviable tissue).
Choice C rationale: Use of barrier cream and a foam dressing may be indicated for other types of wounds but may not address the specific issue of nonviable tissue in a "yellow" wound.
Choice D rationale: No treatment is necessary is not appropriate for a wound with evidence of nonviable tissue.
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