Difficulty: Medium
Average Score: 76%
Simulated
A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?
Correct answer
C
Rationale
The correct answer is C: Capillary refill 4 seconds. Cold application constricts blood vessels, potentially further reducing blood flow. A capillary refill time of 4 seconds indicates poor circulation, and applying cold could worsen the issue. Pitting edema (choice A) and bruising (choice B) do not directly contraindicate cold application as long as there is no compromise in circulation. Warts (choice D) are not affected by cold therapy.