The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

has a wound that is bleeding.

has impaired sensation.

is experiencing spasms of the calf muscles.

has an active, localized inflammation.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Heat therapy is generally contraindicated for a wound that is bleeding, as it can increase bleeding.

Choice B rationale: Heat therapy may not be appropriate for a client with impaired sensation due to the risk of burns.

Choice C rationale: The client who is experiencing spasms of the calf muscles can benefit from heat therapy, which can help relax the muscles and reduce pain. Heat therapy increases blood flow and oxygen delivery to the affected area, which promotes healing and reduces inflammation.

Choice D rationale: Heat therapy is contraindicated for the client who has an active, localized inflammation (D), because heat can worsen the inflammation and increase the risk of infection.

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Correct Answer is B

Explanation

Choice A rationale: Reading previous documentation provides historical information but may not reflect the current level of dyspnea.

Choice B rationale: Observing the client at rest and during activity is the best way to assess the current level of dyspnea.

Choice C rationale: Asking if shortness of breath is being experienced provides subjective information but may not be as reliable as direct observation.

Choice D rationale: Auscultating lung sounds is important for assessing respiratory function but may not provide a comprehensive picture of dyspnea.

A. ineffective gas exchange. B. ineffective breathing pattern C. activity intolerance. D. decreased cardiac function

Correct Answer is B

Explanation

Choice A rationale: Ineffective gas exchange is related to respiratory issues but may not be the priority in this case.

Choice B rationale: Ineffective breathing pattern is the priority problem, as evidenced by shallow respirations and reluctance to perform coughing and deep breathing, which can lead to respiratory complications.

Choice C rationale: Activity intolerance is not the priority problem based on the given data.

Choice D rationale: Decreased cardiac function is not the priority problem based on the given data.

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The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The best way for the nurse to assess a client's level of dyspnea is to:

Correct Answer is B

Explanation

A one-day post-operative client complains of severe abdominal pain and has shallow respirations at 22/minute. The client is reluctant to perform coughing and deep breathing. Based on the data, the priority problem that the nurse could assign to this patient is:

Correct Answer is B

Explanation

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The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

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