Ch 8

Question 1

A client has been on a cooling blanket for some time. The clients temp had been decreasing but it is now creeping up again despite the cooling blanket treatment. The nurse recognizes that further interventions are needed to counteract which of the following?

1. Vasoconstriction
2. Immobility
3. Compression
4. Rebound phenomenon

Answer 1

4

Question 2

A nursing student is learning about the indications for heat and cold therapy. Which statement of made by the nursing student indicates the need for further teaching?

1. “Joint stiffness is decreased by the application of heat”
2. “The use of cold in traumatic injury decreases bleeding by constructing blood vessels”
3. “The use of heat in muscle spasms relaxes muscles but decreases their contractility”
4. “Pain is decreased due to the slowed nerve conduction effect of cold”

Answer 2

3

Question 3

A nurse is determining which tasks to delegate to UAP. Which task if performed by UAP would require immediate intervention by the nurse?

1. Administration of a warm bath
2. Application of an ice pack
3. Determination to use ice bags to treat fever
4. Safety check of a heating pad

Answer 3

3

Question 4

A nurse is applying a heating pad to a client. Which action could cause potential harm to the client?

1. Apply moisture to the site that requires the heating pad
2. Place a cover on the heating pad
3. Reassess the site after 15 mins
4. Use gauze ties instead of safety pins to hold the pad in place

Answer 4

1

Question 5

A nurse is preparing to administer an ice bag to a client who is having knee pain. Which nursing intervention is correct for this procedure?

1. Fill the device completely with ice
2. Remove excess air by bending or twisting the device
3. Hold the device upright and check for leaks
4. Leave the device uncovered for optimal temp

Answer 5

2

Question 6

For which of the following clients would the nurse question the use of heat? Select all that apply

1. A client who presents with an active hemorrhage
2. A client with a localized malignant tumor
3. A client who has just sustained a traumatic injury
4. A client who presents with a skin disorder
5. A client with a non bleeding open wound

Answer 6

1,2,3&4

Question 7

The nurse applies cold treatment to a client. Which interventions are important to include in the nurses documentation? Select all that apply

1. Circulatory status
2. Comfort level
3. Application method
4. Skin reaction
5. Temperature of the cold device

Answer 7

1, 2, 3 and 4

Question 8

A nurse is preparing an aquathermia pad for a client. At which temp should the nurse prepare this for the client?

1. 27-37C (80-98F)
2. 37-40C (98-104F)
3. 40-46C (104-115F)
4. Above 46C (above 115F)

Answer 8

2

Question 9

The nurse is caring for a client requiring a hot compress. After applying the moist compress, the nurse applies an electric heating appliance to keep the compress warm. The client calls the nurse a few mins later to say the compress has become cold. The nurse checks the compress and finds it is still as warm as when it was first applied. What would be the nurses best response?

1. “I will turn up he temp on the heater to make it warmer”
2. “The compress feels cooler because your body has adjusted to the warmth”
3. “No the compress is still warm”
4. “Your body has adjusted to the warmth but if I turn up the temp it could cause a burn”

Answer 9

4

Question 10

The nurse applied a hot pack to a clients leg 20 mins ago. When the nurse returns to assess the site, the leg is red and blistered. Which would be the nurses priority action?

1. Notify the primary care provider
2. Apply an ice pack
3. Remove the hot pack
4. Apologize to the client

Answer 10

3