Treatment for frostbite includes which actions? (Select all that apply.)
Administering IV opioids to reduce pain.
After rewarming, the extremity should be lowered to reduce edema.
Immersion of hands and feet in warm water.
Elevating affected limbs.
Do not give tetanus prophylaxis.
Correct Answer : A,C,D
Choice A rationale
Administering IV opioids can help manage the intense pain associated with frostbite, improving patient comfort during rewarming and recovery.
Choice B rationale
After rewarming, the extremity should be elevated, not lowered, to reduce edema by encouraging fluid return to the central circulation.
Choice C rationale
Immersing hands and feet in warm water is a crucial step in the rewarming process, which helps restore blood flow and prevent further tissue damage.
Choice D rationale
Elevating affected limbs after rewarming helps reduce edema and prevents further swelling and complications.
Choice E rationale
Tetanus prophylaxis is recommended in frostbite cases as frostbite injuries can break the skin, increasing the risk of tetanus infection. Hence, avoiding tetanus prophylaxis is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increasing carbohydrate intake is not recommended for clients with Cushing's disease. Excessive carbohydrates can lead to weight gain and worsen hyperglycemia, common in Cushing's.
Choice B rationale
Restricting sodium intake is essential in Cushing's disease management. Excess sodium can exacerbate hypertension and fluid retention, common issues in Cushing's.
Choice C rationale
Limiting potassium-rich foods is not advised in Cushing's disease. Patients often need more potassium due to potassium loss caused by increased cortisol levels.
Choice D rationale
Decreasing protein intake is not recommended as it can lead to muscle wasting. Protein is necessary to maintain muscle mass and strength, especially with the catabolic effects of cortisol.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Resistance to the flow of IV fluid may indicate infiltration or extravasation, where the medication leaks into surrounding tissues, necessitating stopping the infusion.
Choice B rationale
Burning or pain, swelling, or redness at the site are signs of extravasation, which is a serious complication of vincristine administration and requires immediate action.
Choice C rationale
Reporting anxiety and depression are not directly related to vincristine infusion site complications. These are more systemic effects and do not indicate the need to stop the infusion immediately.
Choice D rationale
Nausea and vomiting are common side effects of vincristine but do not indicate a problem with the IV line itself, so they do not require stopping the infusion.
Choice E rationale
Absence of blood return from the IV catheter may indicate that the catheter is not in the vein properly, which requires stopping the infusion to prevent tissue damage.
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