Family Nurse Practitioner Exam

What is the initial treatment plan for a patient diagnosed with a Grade II knee sprain?

1. Application of cold packs the first 24 hours followed by applications of low heat

2. Elevation of the affected limb and intermittent applications of cold packs

3. Rechecking the knee in 24 hours and isometric exercises

4. The application of an Ace bandage to the affected knee

The correct answer is: Elevation of the affected limb and intermittent applications of cold packs

The initial treatment plan for a patient diagnosed with a Grade II knee sprain involves managing swelling and promoting healing. Elevating the affected limb is critical as it helps to reduce swelling by allowing fluids to drain back into the systemic circulation. Intermittent applications of cold packs are also beneficial during the first 48 hours following the injury, as they serve to minimize inflammation and manage pain. Cold applications constrict blood vessels, which helps decrease swelling and numbs the area, alleviating discomfort. Combining elevation with these cold applications creates an effective approach to handling a Grade II sprain, as it addresses both immediate swelling and pain relief. In contrast, while low heat application and cold therapy can be part of the treatment later on, they are typically not used immediately due to the risk of increasing swelling. Rechecking the knee and initiating isometric exercises may be appropriate in the follow-up of treatment but are not part of the initial management. Additionally, though applying an Ace bandage can provide support and compression, it should not be the sole focus of treatment without considering the importance of elevation and cold therapy in the early phase of injury management.