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FON Final Chapter 18: Applying Heat and Cold
Terms in this set (40)
Heat should never be applied longer than 30 minutes once every 2 to 3 hours or the patient could experience rebound phenomenon
25 to 30 minutes
A patient has orders for a heating pad to be placed on the lower back. A nurse teaches the patient that to prevent rebound phenomenon, the heating pad is to be removed after
"My body's ability to fight off infection will be enhanced by allowing more white blood cells to get to the wound."
Following a nurse's explanation of why a warm pack should be applied to an infected hangnail, a patient demonstrates understanding by stating:
- to an area results in vasodilation (not vasoconstriction), which increases white blood cells' access to the wound.
- Applying moist heat increases metabolism of the cells of the body and of any pathogens present.
- enhances the body's infection-fighting abilities by increasing blood flow and thereby delivering more white blood cells to the area
Assess the skin for edema and color
Before applying a warm pack to reduce a patient's discomfort from back spasms, a nurse will
Before the nurse applies a warm pack, the skin of the affected area should be assessed for temperature, color, edema, sensation, and integrity
"Cold therapy decreases swelling and pressure on nearby nerves, which helps decrease pain."
A nurse correctly explains to a patient with a sprained wrist that cold therapy will relieve pain better than would heat by stating:
- decreasing swelling at the site of injury, cold treatment lessens pressure on nerves, resulting in less discomfort
- decreases the inflammatory response
The temperature slowly falls to 100°F
A nurse applies a cooling blanket to a patient with a temperature of 10E.4°F. The nurse would recognize which of the following as an indication of therapeutic effectiveness?
Elevated blood pressure and pulse correspond to an elevated temperature
An elderly patient with hip pain tells a nurse that continuous heat has been the most effective means of relieving pain. After confirming that the patient has an order for heat therapy, the nurse correctly selects which method for the patient?
A warm compress using a washcloth dipped in hot water
While bathing a patient, a nurse finds that the patient's previous IV site is tender and the vein feels hard upon palpation, indicating inflammation. The nurse should apply
Never use any setting above medium
A patient suffering from back spasms has an order for continued heat therapy at home and indicates to a nurse that he will use his heating pad. The nurse correctly advises the patient to
Heat therapy is effective at reducing muscle spasms.
A sitz bath
A nurse is aware that a patient is at increased risk for falling due to orthostatic hypotension. This risk contravenes the use of which method of heat therapy?
Pale, mottled skin
A nurse assesses a patient's skin after an ice bag has been applied. Which of the following findings would indicate that the ice bag is too cold?
"When his temperature reaches 10B.5°F, I will carefully place ice bags in the armpits and groin."
A nurse is satisfied that the mother of a 2-year-old with a history of febrile seizures understands how to effectively decrease body temperature when the mother states:
A burning sensation
A nurse suspects that the ice bag on a patient's left foot is too cold because the patient is complaining of
A nurse will verify that a 33-year-old patient's heat application is set at ____ to prevent the threat of tissue injury.
A nurse expects that a patient diagnosed with a deep vein thrombosis (DVT) in her right lower leg will most likely have an order for which method of heat application?
A common use for a K-pad, or aquathermia pad,
is to treat blood clots in the lower leg.
is used to apply heat and cleansing water to the perineal area
Confirm that there are standing orders to apply ice to recent, localized joint injuries
A patient comes to urgent care with a swollen, painful ankle. While the patient is waiting to be seen by the physician, a nurse could appropriately
Heat therapy should not be applied to a recent injury with edema because it will worsen the swelling
Cold therapy is generally appropriate for a recent joint injury.
Forced-air warming blanket
A patient with congestive heart failure (CHF) presents to the emergency department with muscle spasms in the lower back. Which of the following would not be an appropriate application of heat?
Cognitive level of function and orientation
A physician has ordered an aquathermia pad to treat a patient's deep vein thrombosis (DVT) in the lower legs. Before applying heat therapy, a nurse should assess the patient for
Assess the patient's temperature to have a baseline
A nurse is preparing to administer a sponge bath to reduce fever in a patient. Which of the following is the most appropriate action to take?
To see whether the patient has had a sitz bath before and what the response was
A physician has ordered a sitz bath for a patient. The nurse understands that it is important to check the patient's chart
A thin cloth barrier should be placed between the source of cold and the patient's skin
When applying cold therapy, a nurse correctly understands that
Fills the bag one-half to two-thirds with ice and some water
When using a refillable ice bag, a nurse correctly
Irrigation of the stomach or colon with cold water to reduce a very high fever that did not respond to other treatment
During report, a nurse learns that a new patient received lavage during the previous shift. The nurse correctly understands this to mean
A nurse correctly identifies that which of the following patients need to be monitored more closely when using hot or cold therapy?
- Patients with diabetes have impaired circulation, increasing the risk for burns or tissue damage with hot or cold therapy
- Elderly individuals and patients with peripheral vascular disease have diminished circulation, increasing the risk for complications following hot or cold therapy
- Infants are at increased risk for injury because they cannot tell someone if they are experiencing discomfort
A nurse understands that special precautions must be taken when a whirlpool bath is administered to which of the following patients?
- Patients with mental impairment, including from dementia or sedation, must never be left alone in a whirlpool bath because of risk for drowning
- Children must never be left alone in a whirlpool bath because of the risk for drowning
- Relaxation of muscle spasms
- Pain relief
- Support of the healing process
- Reduction of edema once it has stabilized
- Elevation of body temp.
NEVER BE USED ON NEW TRAUMA OR DAMAGE TO THE TISSUE.
inflammation and infection of the skin and underlying tissue.
Vasoconstriction, or narrowing of the veins and capillaries
Local application of cold to a site causes
Indications for cold therapy
- New localized injuries
- Prevention of edema
- stoppage of bleeding
- pain relief
- numbing of sensation
- reduction of muscle spasms
- reduction of fever
appears pale or white
irregular blotches, mixture of pallor and blue/purplish blue
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