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","D","E"]
Explanation
Choice A rationale: Oral health indicates the absence of mucositis or other oral complications, which is good, but it doesn't necessarily reflect overall improvement in the client's cancer or chemotherapy response.
Choice B rationale: The absence of bleeding episodes is significant. This suggests that the client's platelet count has improved, reducing the risk of bleeding, which is an important indicator of recovery.
Choice C rationale: While weight maintenance or gain can be an indicator of health improvement, the slight decrease in weight from January to February (70.5 kg to 69 kg) does not suggest an improvement.
Choice D rationale: An increase in the WBC count to within the normal range (4.2 x 10⁹/L) is a positive sign. It indicates that the client’s immune system is recovering, which is crucial during chemotherapy.
Choice E rationale: The improvement in platelet count to within the normal range (150 x 10⁹/L) suggests a reduced risk of bleeding and reflects better bone marrow function, which is a positive outcome of the treatment.
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.
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