Author Question: The nurse knows that cold therapy is contraindicated in the following conditions: (Select all that ... (Read 65 times)

Pineappleeh · **on:** Jul 23, 2018

The nurse knows that cold therapy is contraindicated in the following conditions: (Select all that apply.)

a. Edema
b. Shivering
c. Bleeding
d. Circulatory issues

Question 2

The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains in place. Which interventions should the nurse perform? (Select all that apply.)

a. Measure the amount of drainage in the device prior to emptying.
b. Label each drain and record them separately.
c. Recompress the device after emptying.
d. Secure the device to the patient's gown above the level of the wound.
e. Check for kinks in the tubing.

DylanD1323 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, D
Cold should not be used if any of the following is present: edema (cold application slows reabsorption of the fluid), circulatory pathophysiology (cold application causes vasoconstriction, further reducing circulation to the area), and shivering (this is a comfort concern). Bleeding is contraindicated in heat therapy.

Answer to Question 2

ANS: B, C, E
Use a marked, graduated measuring device to collect the drainage when emptying the reservoir to facilitate accurate measurement of the drainage. After emptying, recompress the device to maintain suction. Secure the container(s) to the patient's hospital gown below the level of the wound, avoiding tension on the tubing and making sure there are no kinks. If there are multiple drains, label them and document observations by the drain label.