A nurse is caring for a client who has a strained knee and a prescription for ice therapy. Which of the following actions should the nurse take?

Check the client's skin after 15 min.

Apply ice directly on the client's skin.

Tell the client ice therapy will increase blood flow.

Apply heat after 30 min of ice therapy.

Answer and Explanation

The Correct Answer is A

Choice A reason: Checking the skin after 15 minutes is appropriate to prevent tissue injury such as frostbite. Ice therapy should be monitored closely to ensure safety and effectiveness.

Choice B reason: Applying ice directly to the skin is unsafe because it can cause frostbite and tissue damage. Ice should always be wrapped in a barrier such as a towel.

Choice C reason: Ice therapy decreases blood flow by causing vasoconstriction, which reduces swelling and inflammation. Saying it increases blood flow is incorrect.

Choice D reason: Heat therapy should not immediately follow ice therapy. Heat increases blood flow and swelling, which is contraindicated in the acute phase of injury.

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Correct Answer is A

Explanation

Choice A reason: Art therapy is particularly effective for clients with schizophrenia who struggle to verbalize emotions. Creative expression through art provides a nonverbal outlet for feelings and can enhance communication, self-awareness, and emotional regulation. This makes option A the correct answer.

Choice B reason: A speech-language pathologist focuses on communication disorders related to speech, language, and swallowing. While helpful for clients with speech impairments, this referral does not address emotional expression difficulties in schizophrenia. This option is incorrect.

Choice C reason: A social worker assists with social services, housing, and community resources. While valuable for overall support, this referral does not directly address the client’s difficulty expressing feelings. This option is incorrect.

Choice D reason: A recreational therapist focuses on leisure activities to improve socialization and quality of life. While beneficial, recreational therapy does not specifically target emotional expression. This option is incorrect.

A. Hypotension B. Tachycardia C. Muscle cramps D. Hyperreflexia

Correct Answer is A

Explanation

Choice A reason: Hypotension is a classic finding of hypermagnesemia. Elevated magnesium levels depress neuromuscular and cardiac function, leading to vasodilation and decreased blood pressure. At levels above the normal range, clients may also experience bradycardia and respiratory depression. This makes hypotension the expected finding and the correct answer.

Choice B reason: Tachycardia is not typical in hypermagnesemia. Instead, bradycardia is more common due to magnesium’s depressant effect on cardiac conduction. Tachycardia would be more consistent with hypovolemia or other electrolyte imbalances, not elevated magnesium.

Choice C reason: Muscle cramps are associated with hypomagnesemia, not hypermagnesemia. Low magnesium levels increase neuromuscular excitability, leading to cramps, tremors, and tetany. Elevated magnesium causes the opposite effect—muscle weakness and diminished reflexes.

Choice D reason: Hyperreflexia is also a sign of hypomagnesemia. In hypermagnesemia, reflexes are diminished or absent due to neuromuscular depression. Therefore, this finding would not be expected.

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A nurse is caring for a client who has a strained knee and a prescription for ice therapy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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