The school nurse is providing care to a school-age client who has just experienced a sprain of the right ankle on the playground. Which intervention is appropriate for the nurse to implement for this client?
Apply ice to the extremity.
Apply a warm, moist pack to the extremity.
Perform passive range of motion to the extremity.
Lower the extremity to below the level of the heart.
The Correct Answer is A
Rationale:
A. Applying ice helps reduce swelling, inflammation, and pain immediately after a sprain.
B. Warm packs can increase swelling if applied too early after injury.
C. Passive range of motion is contraindicated acutely as it may worsen the injury and increase pain.
D. The extremity should be elevated above the level of the heart to reduce swelling, not lowered.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Persistent or worsening swelling may indicate compromised circulation and should not be considered normal.
B. Coolness and color change can signal impaired circulation, a sign of potential complications like compartment syndrome.
C. Immobilizing the shoulder unnecessarily can lead to stiffness and decreased range of motion.
D. Letting the limb hang can increase swelling and is not recommended. The limb should be elevated to reduce swelling.
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Docusate sodium is a stool softener often used in children with cerebral palsy due to decreased mobility and frequent constipation.
B. Diazepam is a benzodiazepine used to reduce muscle spasticity and seizures in cerebral palsy.
C. Baclofen is a muscle relaxant commonly used to manage spasticity in patients with cerebral palsy. It can be given orally or via intrathecal pump.
D. Methylphenidate is a stimulant used primarily for ADHD and is not a typical treatment for cerebral palsy itself.
E. Atropine is an anticholinergic medication not typically used in the routine management of cerebral palsy.
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