A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

using heavy pressure on the cold pack for greater effectiveness.

leaving the pack in place for over 30 minutes at a time.

preparing to apply heat instead if cold is not effective.

placing a towel between the pack and the skin.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using heavy pressure on the cold pack for greater effectiveness is not the correct approach when applying a cold pack to an injured area. Applying excessive pressure can lead to tissue damage, frostbite, and can be uncomfortable for the patient. Cold packs should be applied with gentle, even pressure to avoid complications.

Choice B rationale:

Leaving the cold pack in place for over 30 minutes at a time is not recommended. Prolonged exposure to cold can also cause tissue damage, including frostbite. It is generally advised to limit cold pack applications to 20-30 minutes at a time to prevent complications.

Choice C rationale:

Preparing to apply heat instead if cold is not effective is not the appropriate action in this scenario. When a healthcare provider orders a cold pack application, it is essential to follow the prescribed treatment plan. Heat should only be considered if it is specifically ordered as an alternative treatment.

Choice D rationale:

Placing a towel between the pack and the skin is the correct approach to prevent patient injury when applying a cold pack. This helps to protect the skin from direct contact with the cold pack, reducing the risk of frostbite or cold-related injuries. It ensures a barrier between the cold pack and the patient's skin, providing a safe and comfortable application.

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Correct Answer is C

Explanation

Choice A rationale:
Endorphins are capable of reducing pain in both physiological and psychological conditions, so this statement is inaccurate.
Choice B rationale:
Endorphins are often described as natural morphine-like compounds, but they are not enzymes. They are neuropeptides produced by the body, which bind to opioid receptors and act as natural painkillers.
Choice D rationale:
Endorphins can reduce pain in response to various stressors, whether they are physiological or psychological. They play a role in the body's response to stress and pain. Therefore, this statement is not accurate.

A. The CPAP device should fit loosely on the face. B. The CPAP device delivers less pressure during exhalation than inhalation. C. The CPAP device requires an invasive ventilation tube. D. The CPAP device should be placed over the nose.

Correct Answer is D

Explanation

Choice A rationale:
The CPAP device should not fit loosely on the face. It should fit snugly to create a proper seal and maintain positive airway pressure. A loose-fitting CPAP mask may not effectively treat obstructive sleep apnea (OSA).
Choice B rationale:
The CPAP device typically delivers consistent pressure throughout both inhalation and exhalation. It does not deliver less pressure during exhalation. The purpose of CPAP is to maintain a constant pressure to keep the airway open during both phases of the respiratory cycle.
Choice C rationale:
The CPAP device does not require an invasive ventilation tube. It uses a mask that covers the nose or both the nose and mouth to deliver positive airway pressure. It is non-invasive and is designed to keep the airway open by delivering pressurized air.

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A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse explains that endorphins are capable of reducing pain:

Correct Answer is C

Explanation

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

The nurse is aware that the new order for indomethacin (Indocin) involves the administration of a:.

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.The nurse will initially:.

A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

A sleeping patient has periodic pauses in breathing, then starts to breathe again.The nurse recognizes this sleep pattern is consistent with:.