Deck 44: Heat and Cold Applications
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Deck 44: Heat and Cold Applications
1
During a sitz bath, the support worker must carefully observe the client for which of the following signs and symptoms?
A)Nausea and vomiting
B)Appetite changes
C)Cyanosis at the application site
D)Weakness and faintness
A)Nausea and vomiting
B)Appetite changes
C)Cyanosis at the application site
D)Weakness and faintness
D
2
The nurse assigns to the support worker the task of giving the client a warm soak.How often should the support worker check the application site?
A)Every 5 minutes
B)Every 10 minutes
C)Every 15 minutes
D)Every 20 minutes
A)Every 5 minutes
B)Every 10 minutes
C)Every 15 minutes
D)Every 20 minutes
A
3
When heat is applied, the skin becomes which of the following?
A)Pale and cool
B)Bluish in colour
C)Red and warm
D)Blistered
A)Pale and cool
B)Bluish in colour
C)Red and warm
D)Blistered
C
4
An aquathermia pad is set at 40.5°C (105° F).This is considered to be what type of application?
A)Very hot application
B)Hot application
C)Warm application
D)Tepid application
A)Very hot application
B)Hot application
C)Warm application
D)Tepid application
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5
What is a compress?
A)Wrapping a body part with a wet or dry application
B)Immersing the body part in warm water
C)A dry application
D)A soft pad applied over a body area
A)Wrapping a body part with a wet or dry application
B)Immersing the body part in warm water
C)A dry application
D)A soft pad applied over a body area
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6
What is the correct temperature for a cool application?
A)33.8° C to 36.6° C (93° F to 98° F)
B)26.6° C to 33.8° C (80° F to 93° F)
C)18.3° C to 26.6° C (65° F to 80° F)
D)10° C to 18.3° C (50° F to 65° F)
A)33.8° C to 36.6° C (93° F to 98° F)
B)26.6° C to 33.8° C (80° F to 93° F)
C)18.3° C to 26.6° C (65° F to 80° F)
D)10° C to 18.3° C (50° F to 65° F)
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7
What parts of the body does a sitz bath involve?
A)A hand and wrist
B)A foot and ankle
C)A knee and hip
D)The perineal and rectal areas
A)A hand and wrist
B)A foot and ankle
C)A knee and hip
D)The perineal and rectal areas
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8
The care plan states that a pack is required.What is a pack?
A)Wrapping a body part with a wet or dry application
B)Immersing the body part in warm water
C)A dry application
D)A soft pad applied to a body area
A)Wrapping a body part with a wet or dry application
B)Immersing the body part in warm water
C)A dry application
D)A soft pad applied to a body area
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9
What is the correct temperature for a warm application?
A)41.1° C to 46.1° C (106° F to 115° F)
B)36.6° C to 41.1° C (98° F to 106° F)
C)33.8° C to 36.6° C (93° F to 98° F)
D)26.6° C to 33.8° C (80° F to 93° F)
A)41.1° C to 46.1° C (106° F to 115° F)
B)36.6° C to 41.1° C (98° F to 106° F)
C)33.8° C to 36.6° C (93° F to 98° F)
D)26.6° C to 33.8° C (80° F to 93° F)
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10
What does the term constrict mean?
A)To expand or open wider
B)To narrow
C)To reduce blood flow
D)To increase blood flow
A)To expand or open wider
B)To narrow
C)To reduce blood flow
D)To increase blood flow
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11
How long are heat and cold applications applied for?
A)5 to 10 minutes
B)10 to 15 minutes
C)15 to 20 minutes
D)20 to 25 minutes
A)5 to 10 minutes
B)10 to 15 minutes
C)15 to 20 minutes
D)20 to 25 minutes
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12
Dilate means which of the following?
A)To expand or open wider
B)To narrow
C)To reduce blood flow
D)To increase blood flow
A)To expand or open wider
B)To narrow
C)To reduce blood flow
D)To increase blood flow
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13
Caroline is having a warm soak on her ankle and the water is becoming cold.The support worker should do all of the following except which action?
A)Change the water, as necessary, to correct the temperature.
B)Pour hot water into the basin while the body part is immersed.
C)Never add hot water while the body part is in the basin.
D)Check the area after 5 minutes.
A)Change the water, as necessary, to correct the temperature.
B)Pour hot water into the basin while the body part is immersed.
C)Never add hot water while the body part is in the basin.
D)Check the area after 5 minutes.
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14
When cold is applied to the skin, what do the blood vessels do?
A)Dilate
B)Constrict
C)Collapse
D)Become less elastic
A)Dilate
B)Constrict
C)Collapse
D)Become less elastic
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15
Which of the following is a dry heat application?
A)Warm compress
B)Warm soak
C)Sitz bath
D)Wheat bag or bean bags
A)Warm compress
B)Warm soak
C)Sitz bath
D)Wheat bag or bean bags
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16
When blood vessels constrict, what happens to blood flow?
A)It increases.
B)It decreases.
C)It stops.
D)It changes direction.
A)It increases.
B)It decreases.
C)It stops.
D)It changes direction.
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17
Why are older adults at risk for complications from heat and cold application?
A)They have thin, delicate, fragile skin.
B)They have increased sensation.
C)They have thick skin.
D)They are less likely to have metal implants.
A)They have thin, delicate, fragile skin.
B)They have increased sensation.
C)They have thick skin.
D)They are less likely to have metal implants.
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18
A client has cyanosis.What will the support worker expect to see?
A)A pink colour
B)A bluish colour
C)Swelling of the tissues
D)Excessive redness of the skin
A)A pink colour
B)A bluish colour
C)Swelling of the tissues
D)Excessive redness of the skin
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19
Heat applications do which of the following?
A)Reduce bleeding
B)Decrease blood flow
C)Promote healing
D)Numb the skin
A)Reduce bleeding
B)Decrease blood flow
C)Promote healing
D)Numb the skin
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20
Caroline has a cold compress on a fracture and the support worker has just checked it for the second time, 5 minutes ago.When will the support worker check again?
A)In 10 minutes
B)In 5 minutes
C)Now
D)In 20 minutes
A)In 10 minutes
B)In 5 minutes
C)Now
D)In 20 minutes
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21
A client has just sprained her ankle.There is a lot of swelling and discoloration.Which of the following is not a possible treatment for her?
A)A gel pack
B)RICE
C)A wheat/bean bag
D)A cold pack
A)A gel pack
B)RICE
C)A wheat/bean bag
D)A cold pack
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22
Moist and dry heat each have different advantages.Which of the following is not a true statement?
A)Heat penetrates more deeply with moist applications.
B)Moist heat has lower (cooler) temperature settings than dry heat applications to prevent injury to the client.
C)Moist heat has a greater and faster effect than dry heat.
D)Dry and moist heat penetrate equally.
A)Heat penetrates more deeply with moist applications.
B)Moist heat has lower (cooler) temperature settings than dry heat applications to prevent injury to the client.
C)Moist heat has a greater and faster effect than dry heat.
D)Dry and moist heat penetrate equally.
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23
When using a commercial cold pack, what must the support worker do?
A)Follow the manufacturer's instructions.
B)Use surgical asepsis.
C)Measure the water temperature.
D)Wear gloves.
A)Follow the manufacturer's instructions.
B)Use surgical asepsis.
C)Measure the water temperature.
D)Wear gloves.
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24
When heat is applied to skin, blood vessels in the area dilate and more blood flows through them.What does this extra blood bring to the tissues?
A)Excess fluid
B)White blood cells
C)Oxygen and nutrients
D)Edema
A)Excess fluid
B)White blood cells
C)Oxygen and nutrients
D)Edema
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25
What does RICE stand for?
A)Rest, Isolate, Compression, Elevate
B)Rest, Ice, Compression, Elevate
C)Rest, Ice, Compensation, Elevate
D)Rice, Ice, Compression, Elevate
A)Rest, Isolate, Compression, Elevate
B)Rest, Ice, Compression, Elevate
C)Rest, Ice, Compensation, Elevate
D)Rice, Ice, Compression, Elevate
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