Sprained her right ankle exhibits 3+ pitting edema and extensive reddish-blue ecchymosis.

Scenario: Questions 24 through 28 pertain to the following scenario.

Marla, a 51-year-old woman, sprained her right ankle exhibits 3+ pitting edema and extensive reddish-blue ecchymosis approximately 2 hours ago. Marla complains of an aching, burning pain at a 6 on a scale of 0 to 10, with 0 being no pain and 10 being the worst pain she can imagine. She asks if she can put a hot pack on the ankle for comfort.

24. What answer should you provide Marla? Support your answer with details.

25. Should you apply heat or cold at this very early stage of recovery? Which method of application might work best in this situation?

26. What assessments should you make prior to the application?

27. What is the maximum length of time this type of therapy should be left in place?

28. What physiological effect will this type of therapy have on Marla’s ankle?