A nurse in a busy emergency department provides care for many clients who present with contusions, strains, or sprains. What are treatment modalities that are common to all of these musculoskeletal injuries? Select all that apply.
Applying ice intermittently
Elevating the injured limb
Resting the affected extremity
Massaging the affected limb
Compression dressings
Correct Answer : A,B,C,E
A. Applying ice intermittently - Ice application helps reduce swelling and inflammation by constricting blood vessels. It is effective in managing pain and preventing further tissue damage in contusions, strains, and sprains.
B. Elevating the injured limb - Elevating the injured limb above the level of the heart helps reduce swelling by allowing fluids to drain away from the injured area. This is particularly important in managing contusions, strains, and sprains where swelling is a common symptom. Elevation supports the body's natural healing processes.
C. Resting the affected extremity - Rest is essential to allow the injured tissue to heal. Avoiding movement and stress on the affected area prevents further damage and promotes the healing process. Resting the extremity prevents additional strain on the injured muscles, ligaments, or tendons, allowing the body to repair the damaged tissues effectively.
D. Massaging the affected limb - Massaging the affected limb is generally not recommended in the acute phase of musculoskeletal injuries, especially contusions, strains, or sprains. Massaging can potentially worsen the injury, increase swelling, and cause further tissue damage. It is important to wait until the initial acute phase has passed and consult a healthcare professional before considering massage therapy.
E. Compression dressings - Compression helps control swelling by applying pressure to the injured area. Compression dressings or bandages provide support to the injured limb, minimize swelling, and reduce the risk of further injury. However, it's essential to apply compression correctly to avoid cutting off circulation, and it's usually best done under the guidance of a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morse Scale:
The Morse Scale, also known as the Morse Fall Scale, is used to assess a patient's risk of falling. It evaluates various factors such as history of falling, secondary diagnosis, ambulatory aids, IV therapy, gait, and mental status. It is primarily focused on assessing the risk of falls, not pressure ulcers.
B. Braden Scale:
As previously mentioned, the Braden Scale assesses a patient's risk for developing pressure ulcers. It takes into account sensory perception, moisture, activity, mobility, nutrition, and friction/shear. The scale helps healthcare providers determine the level of risk a patient has for developing pressure sores and guides interventions to prevent them.
C. Bristol Scale:
The Bristol Stool Scale is used to classify the form of human feces into seven categories. It is a medical aid designed to classify the form of human feces into seven categories. This scale is primarily used to assess bowel movements and is unrelated to pressure ulcers.
D. Hendrich II Scale:
The Hendrich II Fall Risk Model is a tool designed to identify patients at risk for falls. It includes factors such as confusion, symptomatic depression, altered elimination, dizziness, male gender, and the use of antiepileptics, benzodiazepines, or non-opioid analgesics. Similar to the Morse Scale, it focuses on assessing the risk of falls, not pressure ulcers.

Correct Answer is B
Explanation
A. There is no need for the client to lie flat for an extended period after a DEXA scan. The procedure is non-invasive and does not require immobilization.
B. Emptying the bladder before the test is essential to ensure a clear and accurate scan of the pelvis and lower spine. A full bladder might obstruct the view and affect the accuracy of the results.
C. DEXA scans do not typically require the use of IV dye. It is a simple X-ray procedure that measures bone density, and no contrast material is usually needed.
D. Fasting is not necessary for a DEXA scan. The procedure does not involve ingesting or injecting any substances that require fasting.
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