A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

Asking the client to rate the pain

Having the client perform range-of-motion of the affected arm

Monitoring the client's pulse rate

Inspecting the site for reduced swelling

Answer and Explanation

The Correct Answer is A

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

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Correct Answer is D

Explanation

A. Taking the maximum dose will offer stroke prevention. Ibuprofen does not have stroke-preventive properties. In fact, excessive NSAID use may increase cardiovascular risks.

B. Take the medication with an aspirin to increase effectiveness. Combining ibuprofen with aspirin is not recommended as it increases the risk of gastrointestinal bleeding and does not enhance ibuprofen's effectiveness.

C. Sustained-release forms may be crushed for easier administration. Crushing sustained-release tablets alters their formulation, leading to rapid release and increased risk of side effects. Sustained-release forms should never be crushed.

D. Take the medication with food. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and ulceration. Taking it with food helps minimize gastric upset.

A. Religion is a personal belief system, while spirituality involves organized practices and rituals. B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines. C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments. D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices.

Correct Answer is D

Explanation

A. Religion is a personal belief system, while spirituality involves organized practices and rituals: This reverses the definitions of religion and spirituality.

B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines: This is inaccurate as religion often involves doctrine and spirituality includes personal growth.

C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments: They are related but not interchangeable concepts.

D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. Religion is structured and involves established practices, rituals, and communal participation. Spirituality is broader, often focusing on personal meaning, connection, and values, which may exist independently of organized religion.

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A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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