A client has sustained multiple soft tissue injuries from a bicycle accident. Primary medical management for soft tissue injuries includes:

A. Rest and heat to control edema: While rest is appropriate in soft tissue injuries, applying heat in the acute phase increases vasodilation and can worsen swelling and inflammation. Heat is generally avoided during the first 24–48 hours after injury. B. Elevation and ice to control edema: Elevation promotes venous return and reduces fluid accumulation, while ice causes vasoconstriction, limiting swelling and inflammation. These are key components of acute injury management (RICE principle) and help control edema effectively. C. Maintain the limb in a dependent position: Keeping the limb dependent increases hydrostatic pressure, leading to more swelling and discomfort. This position counteracts efforts to reduce edema and can delay healing. D. Aspiration of fluid to ease edema: Aspiration is an invasive procedure and is not part of routine initial management for soft tissue injuries. It is only considered in specific cases, such as large joint effusions, and requires provider evaluation.