A client fell from the stairs and twisted her ankle. The injury caused inflammation of the ankle. Which of the following is least likely to be included in the interventions for the inflamed ankle?
  1. Elevate the ankle with pillow support.
  2. Apply warm compress over the ankle for the first 72 hours.
  3. Apply compression bandage over the ankle as ordered.
  4. Refer to the nurse for further assessment.
Explanation
Answer: B - The care plan for a client with a twisted ankle is not likely to include application of a warm compress over the inflamed body part for the first 72 hours. A cold compress is preferably applied during the fir 72 hours to cause vasoconstriction and prevent or reduce swelling.
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