question

Some conditions benefit from the application of either heat or cold. Because complications can occur, the nurse must be knowledgeable to use these therapies _____ and _____.

answer

safely and effectively

question

Heat causes _______, which increases blood flow to the area where heat was applied.

answer

vasodilation

question

Vasodilation increases the amount of oxygen, nutrients, and white blood cells delivered to body tissues. (T/F)

answer

True

question

Vasodilation also aids in ____ of waste products from injured tissues(such as the debris from phagocytosis)

answer

removal

question

What kind of things does heat application help with?

answer

-relieves local pain, stiffness, or aching, particularly of muscles and joints -assists in wound healing -reduces inflammation -makes the chilly client more comfortable -raises the body's temperature -promotes drainage (draws infected material out of wounds)

question

Heat must be fairly intense to produce the desired effect, burns may result if heat is applied _____ or for _____.

answer

improperly, or for too long

question

The application must be hot enough to accomplish its purpose but within a safe _____ range.

answer

temperature

question

Heat applied over a large area affords more warmth; however the potential for injury is greater than that of heat applied over a _______.

answer

small area

question

Both dry heat and moist heat have _______.

answer

local effects

question

Apply dry heat with what bags?

answer

warm-water bag, waterproof water-filled heating pad(aquathermia pad), heat lamp, electric heat cradle, or electric heating pad

question

Moist heat applications ____ the skin more quickly and are more_______ than applications of dry heat because water is a better heat conductor than air.

answer

warm, penetrating

question

Apply moist heat with ______, ___, ____, including the ____.

answer

compresses, packs, soaks including the sitz bath

question

Sometimes wet compresses are used in combination with the ______ to provide longer-lasating moist heat.

answer

aquathermia pad

question

______ is a problem that may develop when moisture is applied directly to the skin for long periods.

answer

skin maceration

question

The clients skin may be protected by first applying a thin layer of __________, if ordered.

answer

petroleum jelly

question

Limit _________, The order typically specifies the length of time for the heat to be on and off.

answer

application time ex of order: Apply moist compresses for 15 minutes every hour WA(while awake)

question

Applying heat to localized areas of infection, such as abscess or infected appendix, may cause:

answer

rupture of the area heat application is contraindicated in this case. Systemic spread of the infection (generalized septicemia) may occur. This can be life threatening

question

The _____ pad, which produces dry heat is used to treat muscle sprains and mild imflammations and for pain relief.

answer

aquathermia

question

Temperature-controlled distilled water flows through the ______ pad.

answer

waterproof

question

When disassembling the aquathermia pad for return to the supply or equipment department you:

answer

-unplug the unit before to prevent shocks -empty the water out of the pump unit and out of the pad and connecting tubes. Disconnect the tubes over a sink; empty the water into the sink(to prevent leakage) -Discard the pad (bc its contaminated) -Return only the heater/pump to the equipment department -carefully wash hands

question

Write the temperatures for each in farenheit: Hot Warm Tepid Cool Cold

answer

Hot 100-105 f Warm 95-100 f Tepid 80-95 f Cool 65-80 f Cold 50-65 f

question

_____ relax muscles, stimulate circulation, and relieve pain.

answer

Infrared rays (IR) They have the same effect on the body as other forms of dry heat

question

_____ are not as penetrating as infrared rays. They are used to treat skin infections and wounds.

answer

Ultraviolet rays (UV)

question

_______ is a method of applying deep, penetrating heat to muscles and tissues. A lubricating gel is applied to the clients skin, and the paddle or wand is kept moving at all times, to prevent burns.

answer

Ultrasound (US)

question

(The heat cradle) In rare instances, a lamp, _____ or special heater is mounted on the inside of a bed cradle to provide dry heat.

answer

lightbulb

question

In some heat cradles, they have an automatic _____ that turns the lamp on and off at preset intervals.

answer

timer

question

Applying heat therapy:

answer

-heat is applied only when specifically ordered, and used with the utmost caution -specific body parts such as the eyelid, neck and inside of arm are especially sensitive to heat -each person has his or her own sensitivity to heat, apply source slowly and ask clients reaction -infants, older people, and those with fair, thin skin have less heat resistance. Lowered body resistance due to illness also makes body tissues less resistant to heat -Impaired circulation and some metabolic diseases make people more susceptible to burn(ex; clients who are in shock, or have any type of peripheral vasodilation disorder or diabetes) -clients revieving radiation therapy or chemo or those with any degree of paralysis are susceptible to burns -clients complaints. listen very carefully

question

An ____ heating pad is a covered network of wires that emits heat when electricity passes through it.

answer

electric

question

NEVER put _____ into a heating pad; if a pin touches the electric wires, it can cause shock. If wires are crushed or bent, the pad can overheat and cause burns or fire.

answer

pins

question

An electric heating pad can easily burn a client, particularly if he or she is paralyzed, has very sensitive or friable skin, or has neurologic impairments that causes insensitivity to heat changes. (T/F)

answer

True

question

Electric heating pads are unsafe to use with:

answer

children, confused, irrational, or unresponsive persons, clients who are suicidal, or clients who have spinal cord injuries

question

Warm, moist compresses and packs apply moist heat to an area to stimulate circulation, and promote _______. They may also be used to apply medications.

answer

wound drainage

question

Warm, moist gauze compresses (such as 4x4 gauze pads) apply ____ to a small area.

answer

heat

question

Large, warm moist packs of cotton or terry cloth apply heat over a ____ area.

answer

larger

question

Covering the pack with heacy, dry material helps it ____ heat longer.

answer

retain

question

Compresses and packs are usually not sterile. However if there is a break in the clients skin, ____ dressings are used.

answer

sterile

question

Sometimes you will need to apply a warm compress to a clients eye, the eyelid and skin around the eye are thin and delicate, and easily prone to injury. What would you do in this situation?

answer

You would use tepid water, not as warm for a larger pack. Use caution to prevent burning clients skin and eyelid. Wash hands carefully, and wear clean gloves. If the eye is draining, discard each compress when you remove it. Send all resuable equipment for sterilization after treatment. If applying compresses to both eyes use seperate equipment.

question

Immersing the clients affected body part in warm water or a solution for a prescribed time is called a _____.

answer

soak

question

What are some reasons for giving a warm soak?

answer

-improves circulation -increases blood supply to an infected area -assists in breaking down infected tissue -applies medications -cleans draining wounds -loosens scabs and crusts from encrusted wounds

question

soaks may be done in a ___ if the area is small or in a tub if the area is large. Often a soak may be combined with a whirlpool bath. This is commonly done in the physical therapy department.

answer

basin

question

Although the tub is usually not sterilized between clients, it must be cleaned ______ with soap, disinfectant, and water per agency protocol. Persons recieving soaks often have open wounds

answer

thoroughly

question

Use tap water for soaks unless ________.

answer

otherwise specified

question

The temperature of the water should be no higher than _____ degrees farenheit.

answer

105 farenheit

question

What are some things to remember to do when giving a soak?

answer

Test the water frequently, and add hot water slowly, to prevent burning the client. Stir the water to distribute the heat evenly. The usualy length of a soak is 15 to 20 minutes.

question

The purpose of the sitz bath is:

answer

to provide moist heat to the pelvic or perineal and perianal area. Often described for clients who have given birth or have undergone rectal or perineal surgery

question

The basin fits on the inside of the commode and is equipped with a bag, tubing, and nozzle to allow water to flow freely to the ____ area.

answer

perineal

question

If a client is at home, the client can be placed in a bathtub containing enough water to cover the clients hips and perineum. (T/F)

answer

True

question

Vasodilation application over a large area of the body may cause hypotension. All clients should be monitored closely and assisted when rising. What is the rationale on this?

answer

This helps to prevent injuries

question

Heat applications may be contraindicated in clients with known cardiac conditions or those taking certain cardiac medications to lower blood pressure. What is the rationale?

answer

These people may be more susceptible to changes in blood pressure and blood flow

question

The application of heat is almost always contraindicated if a client is actively bleeding. What is the rationale on this?

answer

Heat application can increase blood flow and thus increase the bleeding.

question

Cold causes ______, which decreases the amount of blood flow to an area, slowing the bodys metabolism and its demand for oxygen.

answer

vasoconstriction

question

What is the therapeutic goals of cold applications?

answer

controlling hemorrhages, reducing edema, easing inflammation, and blocking pain receptors

question

Cold application prevents escape of ___ from the body by slowing circulation, which also relieves congestion and often relieves muscle pain.

answer

heat

question

A cold application commonly serves what kind of purposes?

answer

-slows or stops bleeding -slows bacterial activity in clients with an infection -relieves pain following some types of surgery, tooth extraction, headache, or muscle or joint injury -reduces swelling in injured tissues, incluiding sprains and fractures -prevents peristalsis in clients with abdominal inflammation -relieves pain in engorged breasts -controls pain and fluid loss in the initial treatment of burns -diminishes muscle contraction and muscle spasms

question

___ application is more effective than heat for sprains or other soft tissues injuries and is the preferred treatment within the first 48 hours after the injury.

answer

cold

question

you may apply cold to prevent _____, however it will not reduce ____ that is already there.

answer

edema, edema

question

Methods of cold application include the use of:

answer

a compress, icecap, ice collar, icepack, sponge bath, and hypothermia (cooling) blanket

question

Apply cold, moist compresses to reduce _____ and _____ in soft tissue injuries or after tooth extraction

answer

swelling, and inflammation

question

The icecap, ice collar, or ice bag is a ____ _____ _____.

answer

dry cold application

question

The icecap has a wide opening that allows it to be____easily with ice chunks.

answer

filled

question

An _____ is a narrow rubber or plastic bag, curved to fit the neck. Often, prepared single-use ice bags are used.

answer

ice collar

question

Can application of an ice bag be done without an order?

answer

sometimes, such as for a headache, or in an emergency, a sprain or nosebleed

question

If a client complains of numbness in the area of the cold application-with the skin appearing white or spotty---indicate the need to discontinue application. What is the Rationale?

answer

Cold numbs nerve endings

question

Continued application of cold affects deeper tissues. Why is it important to monitor the client closely?

answer

Prolonged exposure to extreme cold may cause actual freezing (frostbite)

question

Cold often is applied to a sprain, strain, fracture or burn. Why?

answer

This helps to remove blood and lymph congestion in the area and reduces pain

question

What are the steps in applying a cold compress?

answer

-wear gloves if the client has an open wound or has had surgery -put the compresses in a basin containing pieces of ice and a small amount of water -explain to the client that the treatment will relieve discomfort -wring the compresses thoroughly and apply -change the compress frequently -continue treatment as ordered, usually for 15-20 min. Repeat every 2-4hrs as ordered. Clients who are able can apply the compress themselves -properly dispose of gloves, if used & wash hands -document

question

Single use and refreezable ice packs, explain them.

answer

Some are ready-for-use packs filled with a solution. These ice packs are used by sports teams, hikers and organization such as boy and girl scouts. Sometimes they can be reused but for only one client. Ice packs are also available for one-time emergency use. They have a capsule that when broke, or crystals, that when the bag is shaken, release a chemical that causes the bag to become cold

question

Some gel-filled packs also are available. These packs can be frozen or heated and used as either a hot or cold pack. These are ____ for only one client. Be aware that some of these bags may be frozen or heated in the microwave.

answer

reusable

question

Many icebags, particularly ones with the capsule or crystals become very cold. They can cause _____ fairly quickly. If the clients skin becomes blanched or extrememly red, discontinue the treatment and check asap to see what should be done.

answer

frostbite

question

A ______ is a bath with water below body temperature, usually in the range of 80-95 f.

answer

tepid sponge bath

question

Why might a tepid sponge bath be ordered?

answer

To reduce a clients elevated temperature

question

A tepid sponge bath may be temporarily soothing, but it may not produce a marked temperature drop unless it is used for_______,

answer

an extended period

question

If temperature is a threat to the clients life, other treatments than the tepid sponge bath are usually used to bring the temperature within a manageable range more quickly and permanently. (T/F)

answer

True

question

In conditions associated with a dangerously high temperature, an _____ or ______ often us used.

answer

ice mattress or hypothermia blanket

question

A hypothermia blanket (cooling blanket) is a plastic mattress pad through which very ____ water flows consinously. Its role is to decrease temperature.

answer

cold

question

Hypothermia blankets are used primarily in _____ to slow body processes and to prevent complications resulting from unstable temperature.

answer

surgery

question

,What are the steps in giving a tepid sponge bath to reduce body temperature

answer

-explain procedure -give client option to urinate before -take clients temp, record it -note if client has had antipyretic to reduce fever (such as inuprofen or tylenol) -Add tepid water to bath basin. Use a bath thermometer -Place moist, cool cloths--wrung out just enough to prevent dripping--in clients axillae and groin -be aware clients first response to tepid bath is normally chilliness, disappears as clients body grows used to it. Therefore continue at least 25-30 minutes. -measure temp throughout procedure to determine treatments effects -sponge each limb-as least 5 min. and back and buttocks at least 10-15 min. -stop procedure if client becomes chilled or begins to shiver -stop sponging as soon as clients temp comes back into normal range. -wash hands -document -take temp 30 min after bath has been completed. Report temp immediately if it has fallen to low (99.5)

question

Using an aquathermia (aqua-k) pad

answer

1. read instructions if not familiar. fill control unit receptacle to indicated "fill" line with distilled water 2. set temp control to 105 f or other temp as ordered. 3. cover pad with pad cover, sheet, pillowcase or towel 4. plug the control unit into an electrical outlet, and place the control unit on bedside table 5. when pad is heated, apply to specific body part. pad should rest on top of body part in nearly all cases. 6. if pad needs to be secured in place, use tape or roller bandage. never safety pins 7. tell client not to change temp settings 8. place call signal within clients reach 9. assess area for redness after 5 min. 10. remove pad after specified time for treatment as ordered 11. store pad until next treatment. make sure pad is only used by only one client

question

Applying warm, moist, compresses and packs

answer

1. use a hot pack machine set at the proper temp. otherwise, immerse the comnpress or pack in hot tap water( or heat the pack in a microwav for a one-time application) 2. apply petroleum jelly to the clients skin before applying 3. wring compress or pack with forceps or wringer, removing as much water as possible 4. shake the pack lightly, apply it to area gently at first, gradually pressing it gently againest the clients skin 5. ask client if pack is to hot. if so remove it and shake it in the air briefly to lower its temp. 6. cover moist compress or pack with a dry pack and moisture proof cover(omit this step if using the aquathermia pad) 7. provide clients with blankets during and after treatment 8. change pack as often as necessary to keep area heated 9. use aquathermia pad on top of large warm, moist pack, if ordered 10. assess condition of the clients skin at least every 10 minutes 11. continue treatment for prescribed time and then remove the application 12. use packs for one client only 13. dry skin and cover it.

question

Administering a tub soak to an arm or leg

answer

1. cover tub with bath towel 2. cover client with bath blanket 3. prepare water in tub(100-105 f) always use bath thermometer 4. wear gloves if client has open wound or rash. 5. gradually lower clients affected body part into the water 6. adjust the padding on edge of tub for the knee or elbow to rest on it. support body part with folded pilllow if necessary 7. test waters temp frequently. add hot water carefully if needed and stir water 8. remove clients are or leg from bath in 15 to 20 minutes or as ordered. dry clients skin 9. apply sterile dressing to wound(if one is present) properly dispose of equipment and gloves

question

Using a sitz bath

answer

1. put toilet seat up. place sitz bath on commode and fill reservoir with water at prescribed temperature. often 100-105 f. measure with bath thermometer 2. hang reservoir at a height that will allow water to flow from it through tubing and into the basin. IV pole often used for this purpose 3. assist client to sit in basin. make sure basin is filled to correct depth. make sure client is comfortable place folded towel in lumbar area, if client desires this. 4. be sure client has robe or blankets to put over shoulders 5. place call signal within clients reach, watch client clost for signs of fainting or weakness 6. instruct client to remain in tub for prescribed length of time 7. assist client out of sitz bath and help him or her to dry buttocks and return to bed 8. label sitz basin with clients name and record number

question

Applying icecap or ice collar

answer

1. inspect bags stopper or closure and test bag for leakage 2. fill icecap or collar about 3/4 fulls, using small pieces of ice. pour water over ice so ice melts slightly. 3. flatten bag on hard surface and press on it to expel as much air as possible 4. screw on top or fold over the end, making sure that top is firmly in place and secured. These bags may be closed with hook-and-loop fasteners 5. dry icecap or collar and cover it with a towel, securing towel with tape 6. adjust bag on part of the body to be treated. leave icecap or collar in place 15-20 min (no longer) wait one hour before reapplying unless directed otherwise. document on and off periods

question

When applying moist heat, which approach should the nurse use? A. always use sterile compresses and equipment B. apply treatment for 1 hour C. first, apply protective layer of petroleum jelly D. set heat setting at 110 f

answer

a

question

Which technique should be used when performing an ultrasound treatment? A. apply lubricating gel to skin B. hold paddle in one place for 30 seconds before moving to another area C. instruct client to perform treatment D. Perform treatment until client complains of tingling on the skin

answer

a

question

Physician orders tub soak for a client for 30 minutes at 110 f. Which action should the nurse take? A. administer bath as ordered B. question order with the physician, due to the possibility of burning the client C. request someone else give the bath D. set temp setting at 105 f

answer

b

question

Which of the following treatments would be most appropriate for a maternity client who has just delivered a baby and had an episiotomy? A. an aqua-k pad to perineum B. electric pad to perineum C. sitz bath to perineum D. warm compress to perineum

answer

c

question

To reduce fever, a tepid sponge bath would be done for at least: A. 5 minutes B. 10 minutes C. 15 minutes D. 30 minutes

answer

d

question

Aquathermia pad-

answer

pad which produces a dry heat by the use of temperature-controlled water flowing through a waterproof shell

question

hypothermia blanket-

answer

cooling blanket

question

sitz bath-

answer

bath used to apply heat to pelvic area

question

tepid sponge bath

answer

bath with water below body temperature, used to produce fever 70-85 degrees f

question

Aqua-k pad

answer

aquathermia heating pad

question

IR-

answer

Infrared rays

question

US-

answer

ultrasound

question

UV-

answer

Ultraviolet rays

question

WA-

answer

while awake

question

Heat dialates surface of what?

answer

Blood vessels also know as vasodialation

question

Whenever hear is applied take measures to protect the client from what kind of injuries?

answer

burn

question

Warm, moist applications do what faster than dry heat?

answer

heat the skin more quickly than dry heat

question

Water temperature for a soak should be no higher than what?

answer

105 degrees

question

What type of bath applies heat and water to the pelvic or perineal and perianal area?

answer

Sitz bath

question

What should you take measures against when heat is applied?

answer

possible burn injuries

question

What does cold do to surface blood vessles?

answer

Vasoconstriction- constricts blood vessels

question

Cold moist compresses are applied to what body parts?

answer

small

question

What can a tepid sponge bath be used for?

answer

to reduce a clients body temperature

question

When cold is applied it is important to prevent what?

answer

chilling

question

Several different pieces of equipment may be used to administer what?

answer

heat and cold treatments

question

________a bed cradle that has a lamp, lught bulb, or special heater inside it

answer

Heat cradle

question

________covered network of wires that emits heat when electricity passes through it

answer

Electric heating pad

question

_______Waterproof pad through which flows temperature-controlled distilled water

answer

Aquathermia pad

question

__________is a plastic mattress pad through which very cold water flows continuously.

answer

Hypothermia blanket

question

Cold application help to reduce edema. (t/f)

answer

false- cold applications do not reduce edema that is already present, however, they help to prevent edema

question

Alchohol is used in tepid sponge baths because it cools quickly (t/f)

answer

false- alcohol shoul not be used in a tepid sponge bath, because it cools too much and evaporates very quickly.

question

Cold application is more effective than heat for sprains or other soft tissue injuries. (t/f)

answer

true

question

Moist heat applications warm the skin more quickly than do dry heat applications. (t/f)

answer

true

question

Skin maceration may develop when dry heat is applied directly to the skin for long periods. (t/f)

answer

false- skin maceration may develop when moist heat is applied directly to the skin for long periods.

question

Application of ________to an abscess or infected appendix may cause rupture of the area.

answer

heat

question

A warm soak may be combined with a whirlpool bath usually in the ________

answer

physical therapy department

question

Cold causes_________which decreases the amount of blood flow to an area, slowing the bodys metabolism and its demand for oxygen.

answer

vasoconstriction

question

A child who requires a cold _________ treatment may be placed in a croupette.

answer

humidity

question

__________from heat application over a large area of the body may cause hypotension.

answer

vasodialation

question

What is the purpose of infrared treatment?

answer

Treatment with infrared rays is a form of dry heat that helps to relax muscles, stimulate circulation, and relieve pain

question

How is UV ray treatment helpful?

answer

Sunlight provides mild ultraviolet irradiation. UV rays are not as penetrating as infrared rays; they are used to treat skin infections and wounds.

question

For what type of clients is the use of electric heating pads unsafe?

answer

Electric heating pads are unsafe to use with children; with confused, irrational, or unresponsive patients, with clients who are suicidal, paralyzed or have very sensitive or fragile skin; or with clients who have spinal cord injuries.

question

What are refreezable ice packs?

answer

Refreezable ice packs are reusuable for one client only. They are gel-filled ice packs that can be either frozen or heated and used as either a cold pack or hot pack.

question

What step should the nurse follow for disassembling the aquathermia pad?

answer

"unplug the unit and discard the aquathermia pad" Rationale: The nurse should unplug the unit and discard the aquathermia pad. The nurse should always disconnect the unit before emptying the water out of the pump or disconnecting the tube, to prevent shocks. The tubes should be disconnected over a sink to prevent leakage. The nurse needs to return only the heater pump to the equipment department; the pad should be discarded, because it will be contaminated.

question

A nurse is educating a client who has been asked to take moist heat applications at home. What may occur if there is prolonged exsposure to the moisture?

answer

"skin maceration" Rationale: The nurse should inform the client that prolonged exposure to moisture can cause skin maceration or softening of tissues. Vasoconstriction, numbness, and slow circulation are effects of cold applications. Application of moist heat causes vasodialation which increases the circulation.

question

What should the nurse do when applying a warm compress to a clients eyes?

answer

"send reusuable equipment for sterilization" Rationale: The nurse should send reusable equipment for sterilization after the treatment is completed. The nurse should use tepid water, not warm water as for a larger pack to prevent burning to the clients eyelids and skin. The nurse should discard and not wash the compresses if the eye is draining. The nurse should use different equipment for each eye to prevent cross infection.

question

A nurse is assigned to assist a client with a foot soak. what should a nurse know are reasons for giving a warm soak?

answer

" it loosens scabs; it cleans draining wounds; it applies medications" Rationale: The nurse should know that a warm soak is used to loosen scabs and crusts, clean draining wounds, and apply medications. Soaking the affected body part in warm water for a prescribed time allows the scabs and crust to loosen from encrusted wounds. Warm soaks increase blood flow to the area which helps to drain wounds. Cold compresses not warm soaks control hemorrahage and blocks pain receptors.

question

What should the nurse ensure when assisting the client with a Sitz bath?

answer

" provide a stool to support the legs" Rationale: When assisting a client with a sitz bath the nurse should provide a stool to support the legs; this helps to prevent pressure on the blood vessels in the legs. The temperature of a sitz bath is measured with a bath themometer and is set between 100-105 F anything higher can burn the skin and cause bleeding due to vasodilation. The reservoir is supported on an IV pole at an adequate height around the basin to allow proper flow into the basin. The nurse should provide the client with a robe or a blanket to prevent chilling.

question

A client has been asked to apply an ice pack after a tooth extraction what should the nurse tell the client is a benifit of an ice pack?

answer

"it provides pain relief" Rationale: Application of an ice pack after a tooth extraction provides pain relief. Increased blood flow, increased drainage, and vasodilation are caused by heat application. Cold application cause vasonconstriction which leads to reduced blood flow and reduced drainage. They also reduce swelling in the injured area.

question

What is a step involved in the ultrasound heat therapy?

answer

"lubricating gel is applied to the clients skin" Rationale: Ultrasound heat therapy involves the application of lubricating gel to the clients skin. Ultraviolet heat therapy involves the use of rays to treat skin infections and wounds. A heat cradle has a special heater mounted on the inside of the bed, which is regulated to prevent injury during exposure.

question

What should the nurse consider when providing a tepid sponge bath to a client?

answer

"stop sponging as the clients temperature approaches normal" Rationale: The nurse should stop sponging as the clients temperature approaches normal because the temperature will continue to fall after the bath. Stopping the bath when the clients temperature is still above normal body temperature prevents it from dropping to low. The temperature of the water should be set between 26.6 and 35 C and not any lower. The nurse should place moist, cool cloths on the clients axillae and groin to cool the body effectively. The nurse should sponge each limb for at least 5 minutes and the back for at least 15 minutes.

question

A nurse should apply ice bags with capsules for a client with a muscle injury. What should the nurse consider during the treatment?

answer

"ask client to report sensations of burning pain" Rationale: The nurse should ask the client to report sensations of burning pain if any. Burning pain indicates tissue ischemia, which may lead to tissue necrosis. The client is observed for shivering or chilling and temperature is monitored continuously if the client is provided with an ice mattress or given a tepid sponge bath. The nurse should know that ice bags with capsules or crystals become very cold and can cause frostbite fairly quickly.

question

What condition does the nurse know that a sitz bath is contraindicated?

answer

"after active bleeding" Rationale: The nurse must know that a sitz bath is contrindicated after active bleeding. Heat application can increase blood flow and thus increase the bleeding. A sitz bath is used for clients after child birth or perineal surgery.

Heat and Cold Applications- Chapter 54 – Flashcards

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