Which statement by an adolescent patient recovering from a sprain would indicate the need for further instruction by the nurse regarding care at home?
1. "I should put a heating pad on my leg as soon as I get home.".
2. "I should avoid weight bearing on this leg for a couple days.".
3. "I should make sure to keep the Ace bandage on my leg.".
4. "I should prop this leg up when I'm sitting in a chair.".
1
Rationale 1: RICE (rest, ice, compression, elevation) is a recommended therapy for treating soft tissue trauma. These interventions allow the injured muscle, ligament, or tendon to heal (rest), cause vasoconstriction and reduce pain (ice), reduce edema formation (compression), and reduce edema and pain (elevation). Planning to use a heating pad would indicate the need for additional instruction by the nurse.
Rationale 2: Interventions should allow the injured muscle, ligament, or tendon to heal (rest). This therapy should be used for 24 to 48 hours.
Rationale 3: Interventions to reduce edema formation will be necessary for 24 to 48 hours.
Rationale 4: Interventions to reduce edema and pain should be used for 24 to 48 hours.
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