Author Question: The client who sustained a severe sprain of the ankle is told by the physician that the pain ... (Read 78 times)

JGIBBSON · **on:** Jul 22, 2018

The client who sustained a severe sprain of the ankle is told by the physician that the pain experienced is caused by muscle spasm and swelling in the area of the injury.

Which of the following interventions should the nurse anticipate will be included in the client's plan of care? Select all that apply. 1. Ice bags
2. Elevation
3. Heating pad
4. Range-of-motion exercises
5. Compression by an elastic bandage
6. Maintaining the affected extremity in a dependent position

Question 2

On the second postpartum day, a client complains of burning, urgency, and frequency of urination. A urinalysis is obtained, and the results indicate the presence of a urinary tract infec-tion.

The nurse instructs the client regarding which measures to take for the prevention and treatment of the infection? Select all that apply. 1. Urinate frequently throughout the day.
2. Fluid intake should be increased to at least 3000 mL/day.
3. Prescribed medication must be taken until it is completed.
4. Foods and fluids that will increase urine alkalinity should be consumed.
5. Wipe the perineal area from front to back after urinating.

shewald78 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1, 2, 5

Rationale: Reflex spasm of local muscles and swelling caused by rupture of local capillary beds can best be treated by remembering the acronym RICE, which stands for rest, ice, compression, and elevation. Heat, a dependent position, and range-of-motion exercises are contraindicated because they would increase swelling.

Answer to Question 2

1, 2, 3, 5

Rationale: The woman with a urinary tract infection must be encouraged to take the medication for the entire time it is prescribed. The woman also should be instructed to drink at least 3000 mL of fluid each day to flush the infection from the bladder and to urinate frequently throughout the day. Foods and fluids that acidify the urine need to be encouraged. The client is also taught to wipe the perineal area from front to back after urinating or having a bowel movement.