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Which instruction should be included by the nurse when providing discharge teaching to a client with a fractured toe?

Which instruction should be included by the nurse when providing discharge teaching to a client with a fractured toe?

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A. Apply heat to the fracture site.
B. Apply ice to the fracture site.
C. Perform ankle dorsiflexion three times per day.
D. Use crutches for 1 week.

This question is part of basic physical care (part 1)

Asked by Lola, Last updated: Aug 03, 2020

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2 Answers

M. Kennedy

M. Kennedy, Web Content Writer, Denver

Answered Jul 18, 2018

Applying ice to the fracture site will be the correct teaching. This is because ice will help reduce swelling and pain by causing vasoconstriction. The patient should not apply heat because heat will further inflammation around the area and increase the likelihood of bleeding.

Ankle dorsiflexion is not therapeutic in this case as it involves moving the foot so the toes go closer to the knee. Finally, it's very unlikely that a patient will need crutches after a toe fracture.

 

John Smith

John Smith

Answered Sep 09, 2016

Apply ice to the fracture site.-rationale: applying ice to the injury site soon after an injury causes vasoconstriction, helping to relieve or prevent swelling and bleeding. applying heat to the fracture site may increase swelling and bleeding. ankle dorsiflexion has no therapeutic use after a toe fracture. its unlikely the client would need crutches after a toe fracture.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: analysisreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 2426.
 

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