Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton
Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton
$2.99
Chapter 18. Applying Heat and Cold
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient has orders for a heating pad to be placed on the lower back. The nurse teaches the patient that to prevent rebound phenomenon the heating pad is to be removed after
| A. | The swelling has decreased. |
| B. | 25 to 30 minutes. |
| C. | The discomfort has resolved. |
| D. | 2 to 3 hours. |
____ 2. Following the nurse’s explanation of why a warm pack should be applied to an infected hang nail, the patient demonstrates understanding by stating,
| A. | “Heat to the area causes vasoconstriction, resulting in increased white blood cells to fight infection.” |
| B. | “If I apply moist heat to the area it will decrease the metabolism required for pathogens to multiply.” |
| C. | “Applying heat will decrease the blood flow and as a result will increase my body’s ability to fight infection.” |
| D. | “My body’s ability to fight off infection will be enhanced by allowing more white blood cells to get to the wound.” |
____ 3. Prior to applying a warm pack to reduce a patient’s discomfort from back spasms the nurse will
| A. | Warm the towel in the microwave. |
| B. | Check peripheral pulses for a baseline. |
| C. | Assess the skin for edema and color. |
| D. | Prepare the warm pack using sterile technique. |
____ 4. The nurse explains to the patient with a sprained wrist that cold therapy will be more beneficial in relieving pain than heat by stating,
| A. | “Cold therapy decreases swelling and pressure on nearby nerves, which helps decrease pain.” |
| B. | “Heat therapy decreases swelling by constricting vessels and nerves, which can increase discomfort.” |
| C. | “Heat therapy decreases pain by increasing oxygen and nutrients to the injured area.” |
| D. | “Cold therapy increases the inflammatory process, which speeds healing and decreases discomfort.” |
MULTIPLE CHOICE
| Feedback | |
| A | Rebound phenomenon occurs whether swelling has decreased or not. |
| B | To prevent rebound phenomenon, heat therapy is applied no more than 30 minutes every 2 to 3 hours. Chapter Objective: Contrast the physiological effects of local heat and cold applications. |
| C | Less discomfort is a desired result but does not prevent rebound phenomenon. |
| D | Heat should never be applied longer than 30 minutes once every 2 to 3 hours or the patient could experience rebound phenomenon. |
PTS: 1 REF: Chapter: 18 | Page: 380 OBJ: Chapter Objective: 18-2
KEY: Content Area: Reduction of Risk Potential | Integrated Process: Teaching and Learning | Client Need: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Treatment | Cognitive Level: Application
| Feedback | |
| A | Heat to an area results in vasodilation, which increases white blood cells’ access to the wound. |
| B | Applying moist heat increases metabolism. |
| C | Applying heat increases blood flow. |
| D | Applying heat enhances infection fighting properties by increasing blood flow and delivering white blood cells. Chapter Objective: Explain how application of heat can support healing. |
PTS: 1 REF: Chapter: 18 | Page: 378 OBJ: Chapter Objective: 18-4
KEY: Content Area: Basic Care and Comfort | Integrated Process: Teaching and Learning | Client Need: Physiological Integrity/Basic Care and Comfort/Non-Pharmacological Comfort Interventions | Cognitive Level: Application
| Feedback | |
| A | Warm packs should never be prepared in the microwave due to a potential for causing burns. |
| B | Applying a warm pack will not affect peripheral pulses. |
| C | Prior to applying a warm pack the skin of the affected area should be assessed for temperature, color, edema, sensation, and integrity. Chapter Objective: Detail the nursing assessments to make prior to, during, and after application of heat therapy. |
| D | Unless the area the warm pack is to be applied to is open there is no need for sterile technique. |
PTS: 1 REF: Chapter: 18 | Page: 382 OBJ: Chapter Objective: 18-5
KEY: Content Area: Basic Care and Comfort | Integrated Process: Nursing Process/Implementation | Client Need: Physiological Integrity/Basic Care and Comfort/Non-Pharmacological Comfort Interventions | Cognitive Level: Comprehension
| Feedback | |
| A | By decreasing swelling at the site of injury, pressure on nerves is also decreased, resulting in less discomfort. Chapter Objective: Contrast the physiological effects of local heat and cold applications. |
| B | Heat therapy results in vasodilation, which in turn increases swelling around nerves, resulting in increased discomfort. |
| C | Although heat increases oxygen and nutrients to the area it does this by vasodilation of vessels and increasing edema and discomfort. |
| D | Cold therapy decreases the inflammatory response; inflammatory response, though necessary, temporarily increases discomfort. |
PTS: 1 REF: Chapter: 18 | Page: 383 OBJ: Chapter Objective: 18-2
KEY: Content Area: Basic Care and Comfort | Integrated Process: Teaching and Learning | Client Need: Physiological Integrity/Basic Care and Comfort/Non-Pharmacological Comfort Interventions | Cognitive Level: Application
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $100.00.$75.00Current price is: $75.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $100.00.$70.00Current price is: $70.00.
Original price was: $80.00.$60.00Current price is: $60.00.
Original price was: $30.00.$20.00Current price is: $20.00.