Deck 24: Heat and Cold Therapies

Question 1

The treatment of choice for an acute musculoskeletal injury is

A)intermittent cold therapy.
B)moist heat therapy.
C)continuous dry therapy.
D)continuous cold therapy.

Answer 1

intermittent cold therapy.

Question 2

List three factors that contribute to body heat production.
a.______________
b.______________
c.______________

Answer 2

a.Metabolism.
b.Exercise.
c.Environmental factors.
d.Pyrogenic cytokines.
e.Injury to hypothalamus.

Question 3

Heat conservation is accomplished by

A)Shivering.
B)Vessel constriction.
C)Nonshivering thermogenesis.
D)Peripheral vasodilation.

Answer 3

Vessel constriction.

Question 4

What is the initial action if a prepackaged cold pack is punctured when coming into contact with the client's skin?

Question 5

For proper functioning of the aquathermic pad,which one of the following actions must be carried out?

A)The reservoir container must be full at all times.
B)The reservoir container must be kept below pad level for adequate water circulation.
C)The pad is covered with a bath blanket to maintain heat to a specified body area.
D)The pad is placed on an extremity with Kerlix gauze or tape to secure in place.

Question 6

Which of the following is true regarding fever and hyperthermia?

A)Fever is a regulated response.
B)Hyperthermia is a regulated response.
C)Fever is an unregulated response.
D)Antipyretics are indicated for both.

Question 7

The most effective mechanism for heat loss is

A)Evaporation.
B)Shivering.
C)Decreased metabolic activity.
D)Vasoconstriction.

Question 8

Application of heat for short intervals produces which of the following effects?

A)Generalized vasodilation.
B)Enhanced inflammatory response.
C)Decrease in leukocyte mobility.
D)Local vasoconstriction.

Question 9

The body's thermostat is located in which part of the brain?

Question 10

Which of the following therapies utilizes the principles of conduction?

A)Cold pack.
B)Whirlpool.
C)Heat lamp.
D)Sweating.

Question 11

List four items that are charted for moist heat applications.
a.______________
b.______________
c.______________
d.______________

Question 12

The benefits of local heat and cold therapies last only as long as the therapy is applied.

Question 13

Tepid sponging reduces heat by the process of

A)convection.
B)radiation.
C)conduction.
D)evaporation.

Question 14

An infant warmer is used in the newborn nursery to ensure maintenance of adequate body temperature.The major safety factor involved with the use of the warmer is to

A)Ensure warmer is on manual control.
B)Tape thermometer skin probe in place.
C)Inspect skin under temperature probe at routine intervals.
D)Adjust temperature of warmer each day to ensure it is set at 102°F.

Question 15

Should the client develop mottling or blistering during a local heat application the nurse should

A)Administer an antipyretic.
B)Expect these as normal responses.
C)Discontinue the therapy and apply a cool pack.
D)Dress and elevate the affected area.

Question 16

During an assessment,you find the client's hand has become waxy white,mottled,and blistered during local ice therapy.Your nursing response is to

A)Massage the skin to bring blood to the area.
B)Apply dry heat to the area.
C)Place a towel between the body area and the ice pack.
D)Place the part in moving water at 40°C for approximately 30 minutes.

Question 17

Active external rewarming of the hypothermic client may result in

A)shivering.
B)hyperthermia.
C)metabolic acidosis.
D)diaphoresis.

Question 18

Most local heat and cold therapies are applied for

A)5 minutes.
B)20 minutes.
C)1 hour.
D)2 hours.

Question 19

Which of the following would be an indication for local heat therapy?

A)Acute inflammation.
B)Muscle soreness.
C)Vascular insufficiency.
D)Open wound.