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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.)

A.

Place a compression bandage on the ankle.

B.

Apply heat to the ankle.

C.

Encourage rest.

D.

Elevate the ankle.

E.

Perform passive range-of-motion exercises to the ankle.

Answer and Explanation

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. 


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Related Questions

Correct Answer is B

Explanation

A. Remain on bedrest for the first 24 hr.: This is not recommended after arthroscopic knee surgery. Early mobilization and ambulation are encouraged to prevent complications such as blood clots and promote healing.

B. Apply ice to the affected area: This is an important instruction. Applying ice can help reduce swelling and pain after surgery. It's typically recommended for the first 24-48 hours.

C. Begin active range of motion: While range of motion exercises are important, they should be initiated as directed by the healthcare provider, and they should be done gently to avoid straining the surgical site.

D. Keep the leg in a dependent position: This is not recommended. Elevating the leg can help reduce swelling and promote circulation. Keeping the leg in a dependent position could exacerbate swelling and discomfort.

Correct Answer is A

Explanation

A. Holding the wrist at a 90-degree flexion is known as Phalen's maneuver, which is a test for carpal tunnel syndrome. This position puts pressure on the median nerve, potentially reproducing the client's symptoms.

B. Flexing the right arm at the elbow is not a specific test for carpal tunnel syndrome.

C. Holding the right arm straight is not a specific test for carpal tunnel syndrome.

D. Extending the right arm upward is not a specific test for carpal tunnel syndrome.

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