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?
"I'll keep a heating pad on the calf of my right leg when I am lying down."
"I'll wrap a warm, wet towel around my right calf every 4 hours."
"I'll place my leg under a heat lamp every 3 hours."
"I will sit on the side of the tub and soak my right leg two times every day."
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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Correct Answer is A
Explanation
Rationale:
A. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for anxiety disorders, including illness anxiety disorder. It helps to manage the anxiety symptoms associated with the condition.
B. Haloperidol is an antipsychotic medication used to treat schizophrenia and other psychotic disorders but is not typically prescribed for illness anxiety disorder.
C. Olanzapine is an antipsychotic medication used to treat schizophrenia and bipolar disorder but is not generally used for illness anxiety disorder.
D. Carbamazepine is an anticonvulsant and mood stabilizer used to treat bipolar disorder and epilepsy, but it is not indicated for illness anxiety disorder.
Correct Answer is D
Explanation
Rationale:
A. Poor concentration is common in anxiety but is not specific to panic-level anxiety.
B. Voice tremors can occur but are not as distinctive as depersonalization.
C. Shakiness can be a symptom but is not as defining as depersonalization.
D. Depersonalization is a common experience during panic-level anxiety, where the individual feels detached from themselves or their surroundings.