A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

"It is okay to wiggle the toes on my right foot.

"I can use a chopstick to relieve an itch Inside the cast."

"I should pay attention to how my foot feels below the cast."

I will call the doctor if I feel hot spots on my cast."

Answer and Explanation

The Correct Answer is B

A. Wiggling toes promotes circulation and helps detect any tightness or swelling in the cast.

B. Inserting objects into the cast, such as a chopstick, to relieve an itch can cause injury or damage to the skin or the cast itself.

C. Monitoring sensations in the foot is crucial to identify any issues such as decreased circulation or increased pressure.

D. Noticing hot spots on the cast is important as it may indicate irritation or infection beneath the cast.

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Correct Answer is C

Explanation

A. Neutropenic precautions are for immunocompromised clients to prevent infections.

B. Airborne precautions are for pathogens spread through the air.

C. Contact precautions prevent the spread of infections through direct or indirect contact.

D. Droplet precautions are for pathogens spread through large droplets.

A. refeeding syndrome. B. sudden hyperglycemia C. air embolus. D. acute panic attack.

Correct Answer is A

Explanation

A. Refeeding syndrome occurs when a malnourished patient is given nutrition (such as TPN), leading to electrolyte imbalances (particularly low phosphorus, potassium, and magnesium) that can cause symptoms like muscle cramping, headache, and visual changes. This condition requires immediate correction of electrolyte imbalances and careful monitoring.

B. Sudden hyperglycemia can occur with TPN, but the symptoms described (muscle cramping, headache, and visual changes) are more consistent with refeeding syndrome.

C. An air embolus is a serious complication but is less likely to be the cause of these symptoms.

D. Acute panic attacks could cause some of the symptoms, but the patient's low BMI and history of anorexia nervosa make refeeding syndrome the more likely cause.

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A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is A

Explanation

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