Author Question: Which of the following clients would be considered at risk for skin alterations? Select all that ... (Read 29 times)

Awilson837 · **on:** Jul 23, 2018

Which of the following clients would be considered at risk for skin alterations? Select all that apply.

A) A teenager with multiple body piercings
B) A homosexual in a monogamous relationship
C) A client receiving radiation therapy
D) A client undergoing cardiac monitoring
E) A client with diabetes

Question 2

A nurse is applying cold therapy to a client with a contusion of the arm. Which of the following is an effect of cold therapy? Select all that apply.

A) Constricts peripheral blood vessels
B) Reduces muscle spasms
C) Increases blood flow to tissues
D) Increases the local release of pain-producing substances
E) Reduces the formation of edema and inflammation

Madisongo23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, C, E
Body piercings, radiation therapy, and diabetes place clients at risk for skin alterations. Having a homosexual relationship with multiple partners would also place a client at risk for HIV and skin alterations. Cardiac monitoring and respiratory disorders are not risk factors.

Answer to Question 2

Ans: A, B, E
The local application of cold constricts peripheral blood vessels, reduces muscle spasms, and promotes comfort. Cold reduces blood flow to tissues and decreases the local release of pain-producing substances such as histamine, serotonin, and bradykinin. This action in turn reduces the formation of edema and inflammation. Decreased metabolic needs and capillary permeability, combined with increased coagulation of blood at the wound site, facilitate the control of bleeding and reduce edema formation. Cold also reduces muscle spasms, alters tissue sensitivity (producing numbness), and promotes comfort by slowing the transmission of pain stimuli.