What action(s) should a person take when they have an acute wrist sprain? (Select all that apply)
Stabilize the wrist with an elastic wrap.
Apply a warm pack to the affected wrist.
Keep the wrist elevated above the heart.
Frequently massage the affected wrist.
Rest the affected wrist until it is healed.
Correct Answer : A,C,E
Choice A reason: Stabilizing the wrist with an elastic wrap supports the injured ligaments, reducing movement and further damage. It promotes healing by maintaining alignment, making this a correct action for acute wrist sprain management.
Choice B reason: Applying a warm pack increases blood flow, which may worsen swelling in an acute sprain. Cold therapy is recommended to reduce inflammation and pain, making this choice incorrect for acute sprain management.
Choice C reason: Elevating the wrist above the heart reduces swelling by decreasing hydrostatic pressure, allowing fluid to drain from the injury site. This minimizes edema, making this a correct action for acute wrist sprain.
Choice D reason: Frequent massage may aggravate an acute sprain by increasing inflammation and pain. Rest and immobilization are preferred to promote healing, making this choice incorrect for acute wrist sprain management.
Choice E reason: Resting the wrist prevents further injury to damaged ligaments, allowing healing and reducing inflammation. Avoiding strain is critical in acute sprains, making this a correct action for wrist sprain recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Excessive plasma proteins increase oncotic pressure, pulling fluid into the vascular space, reducing edema. Edema occurs with low plasma proteins (e.g., hypoalbuminemia), as in liver or kidney disease, which decreases oncotic pressure, causing fluid leakage, making this choice incorrect.
Choice B reason: Lymph node dysfunction impairs lymphatic drainage, leading to fluid accumulation in tissues, causing edema (lymphedema). The lymphatic system normally returns interstitial fluid to circulation, so its failure results in swelling, particularly in extremities, making this the correct cause of edema.
Choice C reason: Decreased capillary permeability reduces fluid leakage into tissues, preventing edema. Edema occurs with increased permeability, as in inflammation, allowing fluid to escape into the interstitial space, making this choice incorrect as it opposes the mechanism of edema formation.
Choice D reason: Decreased capillary hydrostatic pressure reduces the force pushing fluid out of capillaries, decreasing edema. Edema is caused by increased hydrostatic pressure, as in heart failure, which forces fluid into tissues, making this choice incorrect for causing edema.
Correct Answer is ["A","B","C","F"]
Explanation
Choice A reason: Spinal cord injury causes immobility, leading to joint contractures as muscles shorten without movement. Lack of joint motion causes fibrosis, reducing flexibility, making this a correct complication of spinal cord injury.
Choice B reason: Blood clots (deep vein thrombosis) occur in spinal cord injury due to immobility, causing venous stasis. This promotes clot formation, increasing embolism risk, making this a correct complication of spinal cord injury.
Choice C reason: Autonomic dysreflexia is a life-threatening complication in spinal cord injury, particularly above T6, due to unopposed sympathetic responses to stimuli, causing hypertension, making this a correct complication.
Choice D reason: Polyuria is not typical; spinal cord injury often causes urinary retention due to impaired bladder innervation. Neurogenic bladder leads to incomplete emptying, not excessive urine, making this incorrect.
Choice E reason: Osteoarthritis is not directly caused by spinal cord injury. It results from joint wear, not neurological impairment. Immobility may cause other joint issues, but not osteoarthritis, making this incorrect.
Choice F reason: Constipation is common in spinal cord injury due to impaired autonomic control of bowel motility. Reduced peristalsis and immobility slow transit, making this a correct complication of spinal cord injury.
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