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 D
Explanation
Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.
Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.
Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.
Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.
Correct Answer is A
Explanation
Choice A rationale: A serum magnesium level of 1.8 mEq/L is lower than the normal range and can be associated with alcohol withdrawal.
Choice B rationale: Potassium level within the normal range is not specifically indicative of alcohol withdrawal.
Choice C rationale: Calcium level within the normal range is not specifically indicative of alcohol withdrawal.
Choice D rationale: Phosphorus level within the normal range is not specifically indicative of alcohol withdrawal.
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