A 40-year-old female at 5 months gestation complains of a deformed, swollen ankle after twisting it. What is your recommended action?

The recommended action of immobilizing the ankle with a splint is appropriate in this scenario because it addresses both the need to stabilize the joint and to prevent further injury. Swelling and deformity following a twist injury suggest possible ligament damage, a sprain, or even a fracture. By immobilizing the ankle, you help to minimize movement, which can reduce pain and prevent additional stress on the injured structures during the initial healing phase.

In the context of pregnancy, where certain medications may not be advised, splinting offers a non-pharmacological way to manage the situation. Additionally, any assessment of the injury's severity should consider the patient's pregnancy and overall stability before determining the next steps in treatment, making immobilization a priority.

Applying heat could exacerbate swelling and is generally not recommended immediately after an injury. Giving oral analgesics may not be safe during pregnancy, especially without understanding potential impacts on the fetus. Performing a thorough assessment alone without any intervention would fail to address the immediate needs related to the injury, leaving the patient vulnerable to worsening of the condition. Therefore, immobilization is the safest and most effective action in this scenario.