Evolve HESI Practice Exam

What is the best response for a nurse when a client states that a heating pad no longer feels warm after 20 minutes?

1. Turn up the heat on the pad

2. Replace the heating pad

3. Explain thermal adaptation

4. Check for proper placement

The correct answer is: Explain thermal adaptation

The best response is to explain thermal adaptation. This phenomenon occurs when the body becomes accustomed to a continuous stimulus, such as heat from a heating pad. After prolonged exposure, receptors in the skin and the underlying tissues may become less responsive to the heat, leading to a sensation that the heating pad is no longer warm even if it remains effective. Understanding thermal adaptation is important for both the nurse and the client. By explaining this concept, the nurse can help the client realize that the heating pad may still be delivering therapeutic heat even if the sensation has diminished. This knowledge can encourage appropriate continued use and reassure the client about the effectiveness of their treatment, while also promoting comfort and supporting their recovery process. In contrast, simply turning up the heat on the pad or replacing it may not address the underlying issue of thermal adaptation, and checking for proper placement may not be necessary unless there are other signs suggesting the pad is malfunctioning. Hence, providing an explanation of thermal adaptation supports the educational aspect of nursing care and encourages clients to understand their treatment better.