The nurse working in an outpatient clinic admits a client who is ...

[londonang]

The nurse working in an outpatient clinic admits a client who is diagnosed with a sprained ankle. The nurse teaches the client to:
 
  1. Keep the ankle off the floor.
  2. Keep ice on the ankle for the next week.
  3. Keep an ace bandage wrapped around the ankle, especially when walking.
  4. Avoid weight bearing for two weeks.

Question 2

The nurse is collecting data to help identify clients at high risk for pressure ulcer development. Using either the Braden scale or the Norton scale, a score below____ indicates a potential risk for pressure ulcer development. Standard Text:
 
  Fill in the blank(s) with correct word

[anyusername12131]

Answer to Question 1

3
Rationale: While the client should rest the ankle, the time period will be dependent on the severity of the sprain, and could range from a few days to a few months. Ice should be applied for 48 hours and then heat may be prescribed. The ace bandage should be kept on, especially if weight bearing, to support the ankle.

Answer to Question 2

17
Rationale : The Braden scale and the Norton scales assist the nurse in collecting data in the areas of immobility, incontinence, nutrition and level of consciousness. These scales include subscales and categories that are assigned points. Scores of 16 or lower may be indicators of potential risk

[londonang]

Excellent

[aliotak]

TYSM