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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.)

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.

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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Correct Answer is B

Explanation

A. Inability to move toes may be a sign of tightness in the cast, but it is not the first finding to be expected if the cast is too tight.

B. Pallor of the toes indicates compromised blood flow and is the earliest sign of circulatory impairment due to tightness of the cast.

C. Change in temperature of the toes may be a sign of impaired circulation, but it is not the earliest finding to be expected.

D. Edema of the toes may occur as a result of compromised circulation, but it is not the first finding to be expected if the cast is too tight.

A. Cabbage B. Potatoes C. Broccoli D. Carrots

Correct Answer is C

Explanation

A. Cabbage is not a significant source of calcium.

B. Potatoes are not a significant source of calcium.

C. Broccoli is a good source of calcium and can be advised to the client to increase in her diet.

D. Carrots are not a significant source of calcium.

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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.)

Nursing Test Bank

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