A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.)
Alternate the use of ice and heat.
Apply ice pack intermittently.
Do not place ice pack directly on the skin.
Leave ice pack on for no more than 20 minutes at a time.
The Correct Answer is B
Choice A Reason: Alternate the use of ice and heat
Alternating the use of ice and heat is not typically recommended for the initial treatment of a soft-tissue injury. Ice is generally used during the first 24-48 hours to reduce swelling and inflammation. Heat can be applied later to help relax muscles and improve blood flow, but it should not be used immediately after an injury as it can increase swelling.
Choice B Reason: Apply ice pack intermittently
Applying the ice pack intermittently is important to prevent skin damage and frostbite. It is generally recommended to apply ice for 15-20 minutes at a time, followed by a break of at least 20 minutes before reapplying. This helps to reduce swelling and pain without causing harm to the skin and underlying tissues.
Choice C Reason: Do not place ice pack directly on the skin
Placing an ice pack directly on the skin can cause frostbite and damage to the skin and tissues. It is important to wrap the ice pack in a thin cloth or towel before applying it to the injured area. This provides a barrier that protects the skin while still allowing the cold to penetrate and reduce swelling.
Choice D Reason: Leave ice pack on for no more than 20 minutes at a time
Leaving the ice pack on for no more than 20 minutes at a time is crucial to prevent frostbite and skin damage. Prolonged exposure to cold can cause harm, so it is important to limit the duration of each application and take breaks in between.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
This option suggests removing the mask before removing gloves. However, the correct procedure is to remove gloves first, followed by the mask, to prevent contamination from the gloves to the face.
Choice B Reason:
This is the correct answer. Medical masks should be discarded after each use to prevent contamination and ensure effectiveness. Reusing masks can lead to the spread of pathogens.
Choice C Reason:
While positioning the mask correctly is important, the statement contains an error. The flexible metal piece should be at the top of the mask, not the bottom.
Choice D Reason:
Touching the front of the mask while wearing it is incorrect as it can lead to contamination. The front of the mask is considered contaminated, and touching it can transfer pathogens to the hands.
Correct Answer is D
Explanation
Choice A Reason: Autoimmune disorder affecting the bones
Osteoporosis is not an autoimmune disorder. Autoimmune disorders involve the immune system attacking the body’s own tissues, which is not the case with osteoporosis. Osteoporosis is primarily characterized by a decrease in bone density and mass, leading to fragile bones.
Choice B Reason: Buildup of inflammation in the joints
While inflammation can affect bone health, osteoporosis is not primarily caused by inflammation in the joints. Conditions like rheumatoid arthritis involve joint inflammation, but osteoporosis involves the loss of bone density and strength, not joint inflammation.
Choice C Reason: Increase in calcium levels in the blood
An increase in calcium levels in the blood is not a characteristic of osteoporosis. In fact, osteoporosis often involves a decrease in bone calcium content, leading to weaker bones. Hypercalcemia, or high calcium levels in the blood, is associated with other conditions such as hyperparathyroidism.
Choice D Reason: Bone loss in the cortical and cancellous bones
This is the correct description of the pathophysiology of osteoporosis. Osteoporosis involves the loss of bone density in both the cortical (hard outer layer) and cancellous (spongy inner layer) bones. This loss leads to bones becoming brittle and more susceptible to fractures.

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