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Questions and Answers
A nurse is providing care for a patient with a sprained ankle. The patient asks why cold therapy is being applied instead of heat. Which response by the nurse is correct?
A nurse is providing care for a patient with a sprained ankle. The patient asks why cold therapy is being applied instead of heat. Which response by the nurse is correct?
- Cold therapy decreases blood flow to reduce inflammation and swelling, which helps with pain management. (correct)
- Cold therapy increases blood flow to the area, which promotes healing of the injured tissue.
- Cold therapy enhances muscle contractility, improving movement and flexibility.
- Cold therapy prevents blood pressure from rising, ensuring you don't experience dizziness.
During a heat therapy session, a patient reports dizziness and feeling lightheaded. Which action should the nurse take first?
During a heat therapy session, a patient reports dizziness and feeling lightheaded. Which action should the nurse take first?
- Increase the temperature of the heat source to maintain blood flow.
- Place the patient in a sitting position and provide cold water.
- Instruct the patient to take slow, deep breaths.
- Remove the heat source immediately and monitor the patient's vital signs. (correct)
A nurse is caring for a patient with an order for moist heat therapy using a warm compress for a wrist injury. Which of the following should the nurse include in the plan of care?
A nurse is caring for a patient with an order for moist heat therapy using a warm compress for a wrist injury. Which of the following should the nurse include in the plan of care?
- Instruct the patient to remove the compress if they feel a stinging sensation.
- Apply the compress for 60 minutes, checking the temperature every 30 minutes.
- Check the patient's skin before application and reassess the area every 5-10 minutes. (correct)
- Place the compress at a temperature of 50°C to ensure maximum heat transfer.
A patient receiving cold therapy reports numbness in the treated area. What is the nurse's best response?
A patient receiving cold therapy reports numbness in the treated area. What is the nurse's best response?
A nurse is preparing a sitz bath for a postpartum patient with perineal discomfort. What is the correct temperature range for the water to ensure therapeutic effectiveness?
A nurse is preparing a sitz bath for a postpartum patient with perineal discomfort. What is the correct temperature range for the water to ensure therapeutic effectiveness?
A 45-year-old female presents to the clinic with a complaint of a lump in her left breast. During the nursing assessment, which area of the breast should the nurse focus on, given the common sites for breast lumps?
A 45-year-old female presents to the clinic with a complaint of a lump in her left breast. During the nursing assessment, which area of the breast should the nurse focus on, given the common sites for breast lumps?
During a breast examination, a nurse observes that the patient's right nipple has recently become inverted, which is a new finding for the patient. What is the priority nursing action?
During a breast examination, a nurse observes that the patient's right nipple has recently become inverted, which is a new finding for the patient. What is the priority nursing action?
While performing a breast assessment on an older adult female, the nurse notes several changes. Which of the following findings are typical age-related changes in the breast tissue? Select all that apply.
While performing a breast assessment on an older adult female, the nurse notes several changes. Which of the following findings are typical age-related changes in the breast tissue? Select all that apply.
During a clinical breast exam, a nurse palpates a lump in the patient's breast. Which characteristics of the lump should the nurse document?
During a clinical breast exam, a nurse palpates a lump in the patient's breast. Which characteristics of the lump should the nurse document?
A nurse is instructing a postmenopausal woman on the timing of her monthly breast self-examinations. What should the nurse advise?
A nurse is instructing a postmenopausal woman on the timing of her monthly breast self-examinations. What should the nurse advise?
A nurse is assessing a male patient with a family history of breast cancer. What should the nurse include in the assessment of the male breast?
A nurse is assessing a male patient with a family history of breast cancer. What should the nurse include in the assessment of the male breast?
A 25-year-old male patient is being seen for a routine physical exam. The nurse teaches him about the importance of performing monthly testicular self-exams. Which of the following findings, if reported by the patient, would warrant further evaluation?
A 25-year-old male patient is being seen for a routine physical exam. The nurse teaches him about the importance of performing monthly testicular self-exams. Which of the following findings, if reported by the patient, would warrant further evaluation?
During the assessment of a male patient's genitals, the nurse observes that the scrotum is slightly darker in color than the rest of the skin and has a loose, rugated appearance. Which action should the nurse take next?
During the assessment of a male patient's genitals, the nurse observes that the scrotum is slightly darker in color than the rest of the skin and has a loose, rugated appearance. Which action should the nurse take next?
A patient is concerned about his risk for testicular cancer. During the assessment, which risk factor reported by the patient would most increase his susceptibility?
A patient is concerned about his risk for testicular cancer. During the assessment, which risk factor reported by the patient would most increase his susceptibility?
A nurse is performing a testicular examination on a 70-year-old male. Which age-related change is expected during the assessment?
A nurse is performing a testicular examination on a 70-year-old male. Which age-related change is expected during the assessment?
A male patient expresses concern about a recent painless swelling in his scrotum. During palpation, the nurse detects an irregular mass within the testicle. What is the nurse's priority action?
A male patient expresses concern about a recent painless swelling in his scrotum. During palpation, the nurse detects an irregular mass within the testicle. What is the nurse's priority action?
A patient is learning how to perform a testicular self-exam. The nurse explains that certain structures may feel distinct to the touch. Which of the following structures should the patient expect to feel?
A patient is learning how to perform a testicular self-exam. The nurse explains that certain structures may feel distinct to the touch. Which of the following structures should the patient expect to feel?
Flashcards
Cold therapy for sprained ankle
Cold therapy for sprained ankle
Reduces blood flow, inflammation, and swelling, easing pain.
Heat therapy dizziness
Heat therapy dizziness
Excessive peripheral vasodilation can cause low blood pressure.
Heat therapy skin monitoring
Heat therapy skin monitoring
Check skin regularly to prevent burns during therapy.
Numbness during cold therapy
Numbness during cold therapy
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Sitz bath temperature
Sitz bath temperature
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Breast lump location (female)
Breast lump location (female)
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Inverted nipple
Inverted nipple
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Age-related breast changes
Age-related breast changes
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Breast lump characteristics
Breast lump characteristics
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Breast self-exam timing
Breast self-exam timing
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Male breast assessment
Male breast assessment
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Testicular lump (male)
Testicular lump (male)
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Normal scrotum appearance
Normal scrotum appearance
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Testicular cancer risk factor
Testicular cancer risk factor
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Age-related testicular changes
Age-related testicular changes
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Swollen scrotum (painless)
Swollen scrotum (painless)
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Testicular self-exam structure
Testicular self-exam structure
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Study Notes
Heat and Cold Therapy
- Cold therapy reduces blood flow, inflammation, and swelling, managing pain.
- Cold therapy constricts blood vessels.
- Heat therapy increases blood flow to the area promoting healing.
- Heat therapy may worsen inflammation.
- Dizziness and lightheadedness with heat therapy require immediate removal of heat source and monitoring of vital signs.
Breast/Testicle Assessment
- Male breast assessment should include inspection for lumps, gynecomastia, and breast tissue palpation. Men rarely develop breast cancer
- Female breast assessment should focus on common areas for lumps, particularly the upper outer quadrant and the tail of Spence. Specific assessment of breast size, symmetry, gynecomastia, and nipple area is important.
- Age-related changes in breast tissue include glandular tissue atrophy, skin wrinkling/flabbiness, and nipple inversion.
- Invert nipples warrant further evaluation as a possible sign of malignancy.
- Breast masses/lumps: Document size, shape, consistency, skin over the lump, nipple appearance, and tenderness.
- Testicular self-exams: Monthly self-exams should be performed on the same day each month to ensure consistent follow-up. Routine self-exams are recommended.
- Testicular assessment: finding a hard, small lump in one testicle should be evaluated.
- Normal testicular sensations include sensitivity to pressure and a rope-like spermatic cord. A small, hard, painless lump is concerning and should be further evaluated.
- Normal scrotal appearance is a slightly darker color than the rest of the skin and a loose, rugated appearance.
- Patient concerns: Testicular cancer risk factors include a family history of testicular cancer, undescended testicle (cryptorchidism), and Klinefelter syndrome.
- Testicular changes expected in older adult males include testicular atrophy, decreased pubic hair, and reduced blood circulation.
Sitz Baths
- Appropriate temperature for a sitz bath to promote comfort and healing for perineal discomfort in postpartum patients is 40-42°C (104-107.6°F).
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Description
This quiz covers essential principles of heat and cold therapy techniques in nursing practice. Learn about the effects of these therapies on blood flow, inflammation, and specific assessments for breast and testicle health. Understanding these concepts is crucial for effective patient care and management.
