A nurse is applying a cold compress to a client with a fracture. Which should the nurse do during the procedure?
A) Apply the compress so that it is moist, but not dripping.
B) Place the compress in a basin containing pieces of ice only.
C) Keep the compress on the site for 45 minutes.
D) Repeat the procedure every hour for quick relief.
A
Feedback:
When applying a cold compress to a client with a fracture, the nurse should apply the compress so that it is moist, but not dripping; dripping ice water may startle the client. The nurse should place the compress in a basin containing pieces of ice and water because ice water soaks and cools the compress faster than does plain ice. The nurse should change the compress frequently and not keep the compress on the site for 45 minutes, because the compress warms rapidly as it absorbs body heat. The procedure should be repeated every 2 to 4 hours, as ordered, and not every hour. Continue the treatment, as ordered, usually for 15 to 20 minutes.
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