A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions?
“I’ll apply ice to my ankle for 20 minutes every hour.”
“I’ll rewrap my ankle starting from the knee down.”
“I’ll walk on my ankle for 10 minutes every hour.”
“I’ll put a heating pad on my ankle at bedtime tonight.”
The Correct Answer is A
A. "I’ll apply ice to my ankle for 20 minutes every hour."
This is the correct choice. Applying ice for a specified duration (20 minutes) every hour is a standard recommendation for managing swelling and pain associated with an ankle sprain. It helps reduce inflammation and provides relief.
B. "I’ll rewrap my ankle starting from the knee down."
This statement indicates a misunderstanding. When rewrapping an ankle, it should be done from the bottom (proximal) to the top (distal) to provide proper compression. Starting from the knee down is not the correct technique.
C. "I’ll walk on my ankle for 10 minutes every hour."
This statement may indicate a misunderstanding or potential for harm. Immediate weight-bearing or walking on an injured ankle, especially after a sprain, is generally not recommended. Rest is often a key component of initial management.
D. "I’ll put a heating pad on my ankle at bedtime tonight."
This statement may indicate a misunderstanding. Heat is not typically recommended in the initial stages of treating an acute injury like an ankle sprain, as it may increase inflammation. Ice (cold therapy) is usually the preferred modality early on to reduce swelling and pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fiber
For a client with hypothyroidism, the nurse should reinforce the importance of increasing daily intake of fiber. Hypothyroidism can sometimes lead to constipation, and a diet rich in fiber can help alleviate this symptom.
B. Monounsaturated fats
While monounsaturated fats are considered heart-healthy and can be included in a balanced diet, they are not particularly emphasized or increased for clients with hypothyroidism.
C. Protein
Adequate protein intake is important for overall health, but there is no specific recommendation to increase protein intake solely because of hypothyroidism.
D. Polyunsaturated fats
Similar to monounsaturated fats, polyunsaturated fats are part of a healthy diet, but there is no specific emphasis on increasing their intake for clients with hypothyroidism.
Correct Answer is D
Explanation
A. Drink carbonated beverages.
Carbonated beverages may cause bloating and gas, which can be uncomfortable for individuals with COPD. It's generally advisable to choose non-carbonated and non-caffeinated beverages.
B. Decrease fiber intake.
Decreasing fiber intake is not a recommended approach for individuals with COPD. Fiber is important for digestive health and overall well-being. A balanced diet, including adequate fiber, is generally encouraged.
C. Use bronchodilators after meals.
The timing of bronchodilator use is typically based on a schedule or as needed for symptom control, rather than being specifically linked to mealtime. It's important to follow the healthcare provider's instructions regarding the use of bronchodilators.
D. Increase protein intake.
Increasing protein intake is an appropriate nutritional recommendation for individuals with COPD. Protein is important for maintaining respiratory muscle strength and overall health.
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