The nurse would question a prescription for application of cold therapy to which patient? The patient with a:
a. Wound oozing blood
b. Sprained wrist
c. Infected wound
d. Pressure ulcer
D
The patient with a pressure ulcer would not benefit from a cold application because it would slow blood supply and wound healing and increase risk of further tissue damage. A cold pack may be used for the patient with active bleeding because it causes vasoconstriction and would reduce bleeding. Cold therapy is appropriate for the patient with a sprain to reduce edema, inflammation, and pain. Application of cold slows bacterial growth, so this may be used for an infected wound that is warm to the touch and inflamed.
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The nurse is caring for an individual who has a tension headache. Which of the following would be included in the patient's plan of care? (Select all that apply.)
a. Dark glasses b. Massage c. Moist heat d. Aerobic exercise e. Cold compresses f. Ergotomine
A male patient takes a medication known to cause erectile dysfunction. What action by the nurse is best?
a. State, "If this medication has bad side effects, talk to your doctor." b. Ask, "Are you having any sexual problems in your life right now?" c. Give the patient written information on the side effects of the drug. d. State, "Many men have erectile dysfunction on this drug."
A nurse in a health care facility is caring for a client receiving colesevelam. The nurse would anticipate administering this drug cautiously to a client with which condition?
A) Diabetes B) Peptic ulcer disease C) Liver disease D) Unstable angina
Consensual light reflex is examined when you shine your penlight into the right eye of a patient and then note the
a. pupillary reaction in both eyes. c. pupillary reaction in the right eye. b. pupillary reaction in the left eye. d. light reflected by the opaque lens.