A nurse is caring for a client with an acute lower back strain who requests a heating pad for the pain. Which assessment finding would cause the nurse to question the order for heat therapy?
The application area is not red or swollen.
The client's blood pressure is 130/80 mmHg.
The client has impaired sensation at the site of the pain.
The correct answer is that impaired sensation at the site of pain is a contraindication for heat therapy. Applying heat to an area with decreased sensation increases the risk of burns because the client cannot accurately feel if the heat is too intense. The client's blood pressure is not a direct contraindication for localized heat application. The absence of redness or swelling does not contraindicate heat for muscle strain. A high pain level is the reason for the intervention, not a contraindication.
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