Which of the following clients should avoid the use of cold therapy?
A 32-year-old with menstrual cramps.
A78-year-old with peripheral arterial disease.
A44 year old with a hematoma to the leg
A 69-year-old with a pulled muscle
The Correct Answer is B
A. A 32-year-old with menstrual cramps. Cold therapy can help relieve pain and reduce pelvic inflammation.
B. A 78-year-old with peripheral arterial disease. Cold therapy causes vasoconstriction, which can further reduce circulation in clients with PAD, increasing the risk of tissue damage.
C. A 44-year-old with a hematoma to the leg: Cold therapy is recommended for hematomas as it reduces swelling and bleeding.
D. A 69-year-old with a pulled muscle: Cold therapy reduces inflammation and numbs pain, making it beneficial for muscle injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Protective prone: The prone position (lying on the stomach) does not allow easy enema administration and is not recommended.
B. Left lateral recumbent: The left lateral position allows gravity to assist with enema administration and helps the fluid move efficiently through the colon.
C. High Fowler's: Sitting upright does not promote proper enema flow, making it ineffective.
D. Dorsal recumbent: Lying on the back does not facilitate enema administration effectively.
Correct Answer is C
Explanation
A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.
B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).
C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.
D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.
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