Difficulty: Medium
Average Score: 82%
Simulated
A nurse is caring for a client who is receiving heat applications using a heating pad. Which of the following actions should the nurse take when applying the pad?
Correct answer
A
Rationale
Correct Answer: A
Rationale:
1. Redness indicates potential skin damage from excessive heat.
2. Stopping the treatment prevents further injury to the skin.
3. Monitoring skin condition is crucial for client safety.
4. Nurse must ensure client comfort and prevent harm.
Summary:
B: Leaving the pad for 40 min may lead to skin burns.
C: Using safety pins can cause injury or discomfort to the client.
D: Setting the temperature to 42.2┬░C can cause burns.
Overall, A is correct for ensuring client safety and preventing skin damage.
Rationale:
1. Redness indicates potential skin damage from excessive heat.
2. Stopping the treatment prevents further injury to the skin.
3. Monitoring skin condition is crucial for client safety.
4. Nurse must ensure client comfort and prevent harm.
Summary:
B: Leaving the pad for 40 min may lead to skin burns.
C: Using safety pins can cause injury or discomfort to the client.
D: Setting the temperature to 42.2┬░C can cause burns.
Overall, A is correct for ensuring client safety and preventing skin damage.