A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.)
Place a compression bandage on the ankle.
Apply heat to the ankle.
Encourage rest.
Elevate the ankle.
Perform passive range-of-motion exercises to the ankle.
Correct Answer : A,C,D,E
A. Place a compression bandage on the ankle.
- This helps reduce swelling and provides support to the injured area.
B. Apply heat to the ankle
- This action is not recommended for acute sprains as it can increase swelling. Cold packs or ice should be used initially to reduce inflammation.
C. Encourage rest.
- Rest is important to allow the ankle to heal properly and prevent further injury.
D. Elevate the ankle.
- Elevating the ankle helps reduce swelling by allowing fluid to drain away from the injured area.
E. Perform passive range-of-motion exercises to the ankle.
- Gentle range-of-motion exercises can help prevent stiffness in the ankle joint. However, it's important to perform these exercises within the limits of comfort and not force any movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An IV infusion pump may be needed for intravenous therapy but is not specific to postoperative care following intermaxillary fixation.
B. This option is correct. Wire cutters are essential equipment in case of an emergency that requires the removal of the fixation wires.
C. An NG tube may be necessary for nutritional support, but it is not directly related to postoperative care following intermaxillary fixation.
D. A urinary catheter tray is not specific to postoperative care following intermaxillary fixation and may not be a priority in this situation.
Correct Answer is ["32"]
Explanation
1. Determine the concentration of heparin in the solution:
- There are 25,000 units of heparin in 500 mL of D5W.
- Concentration = 25,000 units / 500 mL = 50 units/mL.
2. Calculate the required mL/hr for the desired infusion rate:
- The order is for 1600 units/hr.
- To find the mL/hr:
ML/HR=desired units/hr divided by unts/ml
=1600/50
=32ml/hr
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