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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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Correct Answer is B

Explanation

Rationale:

A. Eating breakfast prior to the procedure is generally not allowed due to the requirement for anesthesia, which requires the stomach to be empty to reduce the risk of aspiration.

B. Brief seizures are a key component of ECT, as the procedure involves inducing controlled seizures to achieve therapeutic effects. This statement indicates an accurate understanding of the procedure.

C. One ECT treatment is not typically sufficient for treating depression; multiple sessions are usually required for therapeutic benefit.

D. A pre-ECT workup is necessary to ensure the client is physically prepared for the procedure and to assess any potential risks.

Correct Answer is B

Explanation

Rationale:

A. Stage 2 (moderate) of alcohol withdrawal involves symptoms such as increased blood pressure and heart rate, mild confusion, and tremors, but does not typically include hallucinations or severe agitation.

B. Stage 3 (severe) alcohol withdrawal includes severe symptoms such as hallucinations (e.g., seeing spiders), severe agitation, and possible delirium tremens, which are consistent with the client's manifestations.

C. Stage 1 (mild) symptoms generally include mild anxiety and tremors but do not include hallucinations or significant changes in mental status.

D. The client’s manifestations indicate severe withdrawal symptoms, not just a general description.

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