A sprained ankle; after applying compression and splint, what is the next nursing intervention?

• A. Place the ankle on two pillows
• B. Elevate the ankle on two pillows
• C. Apply ice directly to the skin
• D. Massage the ankle

Answer: (A)

Elevating the injured ankle is the next priority after immobilizing with a splint and applying compression. Raising the ankle on two pillows helps reduce swelling and pain by promoting venous and lymphatic drainage, lowering hydrostatic pressure in the injured area, and improving circulation back toward the heart. Keep the leg supported and comfortable, and monitor distal circulation (pulse, color, sensation) after elevating. If ice is used, it should be wrapped in cloth and not applied directly to the skin; avoid massaging the sprain in the acute phase.