A nurse is assisting with the care of a client who has frostbite on both legs after prolonged exposure to outdoor temperatures around 12.2° C (10" F). Which of the following actions should the nurse plan to take?

Warm the affected area in a water bath.

Administer the pneumococcal vaccine.

Massage the calf and thigh muscles.

Immerse the legs in cool water.

Answer and Explanation

The Correct Answer is A

A. Warm the affected area in a water bath: The affected area should be rewarmed gradually using a water bath at 37° to 39°C (98.6° to 102.2°F) to minimize tissue damage.

B. Administer the pneumococcal vaccine: This is not related to the immediate treatment of frostbite.

C. Massage the calf and thigh muscles: Massaging frostbitten areas can cause further tissue injury and is contraindicated.

D. Immerse the legs in cool water: Cool water will not rewarm the tissue and could worsen vasoconstriction.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Have your head turned to the side while you lie on your stomach.": This is the prone position, which can worsen breathing in COPD clients.
B. "Lie on your back with your head and shoulders supported by a pillow.": This is the supine or semi-Fowler’s position, which may not optimize lung expansion.
C. "Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table.": This is the orthopneic or tripod position, which facilitates diaphragmatic expansion and improves breathing in clients with COPD.
D. "Lie on your side with your top arm resting on the bed and your weight on your hip.": This is a lateral position, which doesn't significantly aid breathing in COPD.

A. Muscle mass B. Joint flexibility C. Muscle strength D. Bone density

Correct Answer is B

Explanation

A. Muscle mass: Passive ROM does not build muscle mass because the muscles are not actively used.
B. Joint flexibility: Passive ROM helps maintain or improve joint flexibility, prevent contractures, and reduce stiffness.
C. Muscle strength: Muscle strength increases with active, not passive, exercises.
D. Bone density: Bone density is improved through weight-bearing and resistance exercises, not passive motion.

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A nurse is assisting with the care of a client who has frostbite on both legs after prolonged exposure to outdoor temperatures around 12.2° C (10" F). Which of the following actions should the nurse plan to take?

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