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.
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Related Questions
Correct Answer is D
Explanation
A. Stretching exercises are beneficial for improving flexibility and range of motion. This however doesnt load bones to slow down osteoporosis.
B. High-impact aerobics can increase the risk of fractures in individuals with osteoporosis due to the stress on bones. It is not a recommended form of exercise.
C. Riding a bicycle is a low-impact exercise that can be beneficial for cardiovascular health, but it may not specifically address the needs of osteoporosis.
D. Walking briskly is a weight-bearing exercise that can help strengthen bones. It's a good recommendation for clients with osteoporosis.
Correct Answer is B
Explanation
A. Performing range of motion: This should not be done immediately after applying the cast, as it may compromise the integrity of the cast. Range of motion exercises should be initiated once the cast has fully set and as directed by the healthcare provider.
B. Checking capillary refill distal to the cast: This is the priority after applying the cast. It assesses blood flow to the extremity below the cast. Impaired circulation could lead to serious complications, so it's crucial to monitor capillary refill promptly.
C. Teaching the client about cast care: While providing education about cast care is important, it is not the immediate priority. Ensuring proper circulation is more critical in the initial moments after applying the cast.
D. Managing pain: While pain management is important, it is not the immediate priority after applying the cast. Ensuring proper circulation and assessing for any signs of impairment take precedence. Pain management can be addressed once circulation is confirmed to be adequate.
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