The nurse instructs the mother of a toddler on the appropriate way to apply heat and cold to the child's ankle injury. Which statement indicates that instruction has been effective?
A) "I should apply the ice for 30 minutes followed by an hour of heat.".
B) "I will keep the ice on the child's ankle longer after providing with pain medication.".
C) "I will spend time with my child and read or play a game while the heat or cold is applied.".
D) "I will apply the heat to the child's ankle after waiting 10 minutes for the heating pad to warm.".
C
Feedback:
One guideline for the application of heat or cold is to supply a special activity for the child to enjoy while a hot or cold application is in place, such as reading a story or playing a game, so that the procedure is not viewed as a chore but as a pleasant time in which to look forward. Ice or heat should not be applied for longer than 20 minutes. Pain medication can alter the perception of heat or cold, and the child could receive an injury from the application. To be certain that a heat application is not too hot, it should be tested with the inner wrist or the dorsal surface of the hand before applying it to the child.
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