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A nurse is providing teaching to a client who has a prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

A.

"I'll keep a heating pad on the calf of my right leg when I am lying down."

B.

"I'll wrap a warm, wet towel around my right calf every 4 hours."

C.

"I'll place my leg under a heat lamp every 3 hours."

D.

"I will sit on the side of the tub and soak my right leg two times every day."

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Keeping a heating pad on the leg for extended periods can lead to burns or skin damage. Heat therapy should be applied intermittently with breaks to prevent overheating.

 

B. Wrapping a warm, wet towel and applying it intermittently is appropriate for localized heat therapy and can help reduce inflammation and promote healing.

 

C. Using a heat lamp may not provide consistent or controlled heat application and is not the standard approach for treating cellulitis.

 

D. Soaking the leg in a tub is not recommended as it may introduce bacteria and potentially worsen the infection.


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View Related questions

Correct Answer is ["C","D","E"]

Explanation

Rationale:

A. Allowing a client to skip therapy may not be promoting mental health effectively and could hinder progress.

B. Administering medications is a necessary task but does not directly relate to mental health promotion strategies.

C. Allowing the use of exercise equipment to manage anxiety supports mental health promotion by encouraging healthy coping mechanisms.

D. Assisting clients in using adaptive coping skills is a key aspect of mental health promotion, helping clients develop effective strategies to manage their condition.

E. Following suicide precautions ensures safety and is a proactive approach to mental health management.

Correct Answer is C

Explanation

Rationale:

A. Amphetamines can cause agitation and psychosis but are less commonly associated with delirium.

B. Antihistamines, particularly those with sedative properties, can contribute to delirium, but they are not the primary culprit.

C. Benzodiazepines, especially when used in high doses or in older adults, can cause delirium. They have sedative effects and can impair cognitive function, leading to confusion and delirium, particularly in vulnerable populations.

D. Sertraline, a selective serotonin reuptake inhibitor (SSRI), is generally not associated with causing delirium, though any medication can contribute to altered mental status depending on the patient’s overall health.

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