what nonpharmacological intervention does not help reduce edema

ATI RN

Multi Dimensional Care | Final Exam

1. Which nonpharmacological intervention does not help reduce edema?

A. Heat therapy
B. Passive range of motion (PROM)
C. Elevation of the extremity
D. Cold therapy

Correct answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

2. What medication class can decrease tissue inflammation but delays bone healing?

A. Anticoagulants
B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Opioids
D. Narcotics

Correct answer: B

Rationale: The correct answer is B: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation but may delay bone healing. Anticoagulants (Choice A) are used to prevent blood clotting, opioids (Choice C) are pain relievers, and narcotics (Choice D) are drugs that affect the central nervous system. While all the choices may have their own indications and uses in healthcare, NSAIDs are specifically associated with delaying bone healing despite their anti-inflammatory properties.

3. A client has a new arm cast. What is incorrect teaching by the nurse?

A. Use a sling to alleviate fatigue
B. Elevate the arm above the heart to reduce swelling
C. Report ‘hot spots’ felt under the cast
D. Sudden increase in drainage is expected

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

4. A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse's next action?

A. Send the client back to surgery
B. Assess the wound for signs of dehiscence
C. Call the provider immediately
D. Prepare to culture the wound

Correct answer: B

Rationale:

5. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention?

A. Teaching adherence to an exercise program
B. Teaching about a healthy dietary intake
C. Teaching adherence to the antibiotic regimen
D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.