A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?
Increased tissue metabolism
Reduced blood coagulation
Decreased edema formation
Improved blood flow
The Correct Answer is C
A. Increased tissue metabolism: Cold therapy slows tissue metabolism by reducing enzymatic activity and cellular function, which helps minimize inflammation and tissue damage, not increase metabolism.
B. Reduced blood coagulation: Cold therapy typically promotes vasoconstriction, which supports blood clotting rather than reducing coagulation. This effect can help control minor bleeding after surgery.
C. Decreased edema formation: Cold therapy causes vasoconstriction, which limits fluid accumulation in tissues and reduces capillary permeability, leading to less swelling and edema formation at the surgical site.
D. Improved blood flow: Cold causes vasoconstriction, which decreases blood flow temporarily. This helps limit inflammation and edema but does not enhance circulation during application.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Turn on loud music in client care areas: Loud music can increase noise levels, which contributes to environmental stress and can disrupt clients’ rest and recovery. It is generally contraindicated in acute care settings where reducing stress and promoting healing are priorities.
B. Assign different nurses to provide care for clients each day: Frequent changes in caregivers can increase client anxiety and stress by reducing continuity of care and trust. Consistent assignments promote familiarity, comfort, and better communication between clients and caregivers.
C. Restrict the number of visitors for clients: Limiting visitors helps reduce noise and overcrowding, which are common environmental stressors in acute care units. This strategy supports a calmer environment conducive to client rest and recovery while maintaining essential social support.
D. Offer the clients many choices regarding care: While offering choices can promote autonomy, providing too many options may overwhelm clients, especially those who are ill or stressed. Simplifying decisions helps reduce cognitive overload and environmental stress.
Correct Answer is A
Explanation
A. Measure the intake and output of a client who has received furosemide: Measuring intake and output is within the scope of practice for assistive personnel. The nurse remains responsible for interpreting the data and notifying the provider of any concerns.
B. Check a client's peripheral IV site for redness or swelling: Assessment of IV sites for complications such as infiltration, phlebitis, or infection requires clinical judgment and should be performed by licensed nursing personnel.
C. Assess the pain level of a client who has received acetaminophen: Pain assessment requires clinical judgment, interpretation of client responses, and knowledge of pain scales. Only licensed nurses should perform pain assessments and determine the effectiveness of interventions.
D. Reinforce teaching with a client about crutch-gait walking: Reinforcing teaching involves understanding and communicating clinical concepts accurately. Even though it may seem routine, instructing or clarifying a gait technique requires nursing knowledge to ensure client safety and proper technique.
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