CONCEPTS FOR NURSING PRACTICE 4TH
EDITION JEAN GIDDENS EXAM SCRIPT
2026 UPDATED QUESTIONS WITH
DETAILED ANSWERS GRADED A+
⩥ Vasodilation. Answer: Increased capillary permeability and cellular
metabolism cause by application of heat to a site
⩥ Edema. Answer: Swelling due to excessive fluid in the interstitial
spaces
⩥ Mottling. Answer: Irregular blue or purplish blotches
⩥ Pallor. Answer: Pale to white skin tone
⩥ Phlebitis. Answer: Inflammation of a vein due to IV therapy
⩥ Local effects of heat and cold application. Answer: Affects the body's
cutaneous layers, underlying subcutaneous tissue, and muscles and
vascular structures and their functions
⩥ Systemic effects of heat and cold application. Answer: Involves more
than a specific area and can affect entire body systems
,⩥ Effects of heat application. Answer: Vasodilation of vessels
underlying the area
Increased flow of oxygenated and nutrient-rich blood to the site
Increased permeability of the pores in the capillary walls
Increased plasma, red and white blood cells, and nutrients travel from
the capillaries into the cells and interstitial spaces between the cells
⩥ Effects of cold application. Answer: Decreases blood flow to site,
decreasing bleeding
Decreases inflammatory response, which slows bacterial growth
Decreases capillary permeability and cellular metabolism
Helps prevent edema
Relaxes muscles and decreases pain
⩥ Indications for the application of heat therapy. Answer: Relaxation of
muscle spasms
Pain relief
Support of the healing process
Reduction of edema once it has been stabilized
Elevation of body temp
⩥ Contraindications for heat therapy. Answer: Suspected appendicitis
, Bleeding wound or injury
Newly injured joints
Large areas of the body in certain cardiac patients
⩥ How often is heat therapy applied?. Answer: 20-30 minutes every 2-3
hours
⩥ Leaving heat packs in place for longer than 45 minutes can cause
what adverse effect?. Answer: Rebound phenomenon
⩥ What do you assess prior to applying heat therapy?. Answer: Age
Cognitive level of function
Orientation
Sedation
Sensory impairment
Impairment of circulations
⩥ What do you asses for when applying heat therapy to someone with
diabetes/peripheral vascular disease. Answer: Skin Temperature
Color
Sensation
Edema
Integrity
EDITION JEAN GIDDENS EXAM SCRIPT
2026 UPDATED QUESTIONS WITH
DETAILED ANSWERS GRADED A+
⩥ Vasodilation. Answer: Increased capillary permeability and cellular
metabolism cause by application of heat to a site
⩥ Edema. Answer: Swelling due to excessive fluid in the interstitial
spaces
⩥ Mottling. Answer: Irregular blue or purplish blotches
⩥ Pallor. Answer: Pale to white skin tone
⩥ Phlebitis. Answer: Inflammation of a vein due to IV therapy
⩥ Local effects of heat and cold application. Answer: Affects the body's
cutaneous layers, underlying subcutaneous tissue, and muscles and
vascular structures and their functions
⩥ Systemic effects of heat and cold application. Answer: Involves more
than a specific area and can affect entire body systems
,⩥ Effects of heat application. Answer: Vasodilation of vessels
underlying the area
Increased flow of oxygenated and nutrient-rich blood to the site
Increased permeability of the pores in the capillary walls
Increased plasma, red and white blood cells, and nutrients travel from
the capillaries into the cells and interstitial spaces between the cells
⩥ Effects of cold application. Answer: Decreases blood flow to site,
decreasing bleeding
Decreases inflammatory response, which slows bacterial growth
Decreases capillary permeability and cellular metabolism
Helps prevent edema
Relaxes muscles and decreases pain
⩥ Indications for the application of heat therapy. Answer: Relaxation of
muscle spasms
Pain relief
Support of the healing process
Reduction of edema once it has been stabilized
Elevation of body temp
⩥ Contraindications for heat therapy. Answer: Suspected appendicitis
, Bleeding wound or injury
Newly injured joints
Large areas of the body in certain cardiac patients
⩥ How often is heat therapy applied?. Answer: 20-30 minutes every 2-3
hours
⩥ Leaving heat packs in place for longer than 45 minutes can cause
what adverse effect?. Answer: Rebound phenomenon
⩥ What do you assess prior to applying heat therapy?. Answer: Age
Cognitive level of function
Orientation
Sedation
Sensory impairment
Impairment of circulations
⩥ What do you asses for when applying heat therapy to someone with
diabetes/peripheral vascular disease. Answer: Skin Temperature
Color
Sensation
Edema
Integrity
