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Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

raising the right leg on pillows

reducing activity.

applications of ice to the right ankle.

applying traction to the right leg.

use of an ACE bandage or other wrap

Answer and Explanation

Correct Answer : A,B,C,E

A. Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation.

B. Reducing activity helps prevent further injury and allows the healing process to begin.

C. Applying ice helps reduce swelling and pain in the acute phase of a sprain.

D. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains.

E. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.

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Correct Answer is ["A","B","C"]

Explanation

A. Gradually increasing activity helps in recovery and prevents complications like blood clots.

B. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation.

C. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed.

D. Open-toed house shoes are not recommended as they do not provide adequate support or protection.

E. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

A. Capillary refill B. Pain assessment on a scale of 0-10 C. Ability to move toes D. Posterior tibialis and pedal pulses E. Skin temperature and color of the toes

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion.

B. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management.

C. The ability to move the toes helps assess for nerve function and mobility.

D. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise.

E. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.

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Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

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Correct Answer is ["A","B","C","D","E"]

Explanation

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