A client has a Fiberglass cast on the right arm. Which action should the nurse include in the care plan?
Keeping the casted arm warm by covering it with a light blanket
Avoiding handling the cast for 24 hours or until it is dry
Evaluating pedal and posterior tibial pulses every 2 hours
Assessing movement and sensation in the fingers of the right hand
The Correct Answer is D
A. Keeping the casted arm warm by covering it with a light blanket: Covering a freshly applied cast can trap heat and interfere with drying. It may also mask signs of swelling or neurovascular compromise. Warmth should be monitored, not artificially added.
B. Avoiding handling the cast for 24 hours or until it is dry: Fiberglass casts dry quickly, usually within 30 minutes to an hour. Unlike plaster casts, they do not require extended drying time and can be safely handled soon after application.
C. Evaluating pedal and posterior tibial pulses every 2 hours: These pulses are located in the lower extremities and are not relevant to a cast on the right arm. Neurovascular assessment should focus on the upper extremity involved.
D. Assessing movement and sensation in the fingers of the right hand: Monitoring for changes in movement, sensation, temperature, and color in the fingers is essential for detecting early signs of compartment syndrome or neurovascular compromise in a client with an arm cast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will elevate my legs by placing two pillows under my knees when I go to bed.": Placing pillows directly under the knees can lead to joint flexion contractures and decreased mobility over time. It’s better to elevate the legs with support under the calves to avoid strain on the knees.
B. "I can use either heat or ice to help relieve the discomfort.": Heat can relax muscles and ease stiffness, while ice helps reduce inflammation and swelling. Both modalities are appropriate and commonly recommended for osteoarthritis symptom relief depending on the stage and discomfort level.
C. "I should limit physical activity to prevent further injury.": Limiting activity entirely can worsen joint stiffness and reduce muscle strength. Instead, low-impact exercises like walking or swimming are encouraged to maintain joint function and overall mobility.
D. "Ibuprofen is the first step in medication therapy for osteoarthritis.": Acetaminophen is recommended as the first-line medication for osteoarthritis pain due to its favorable side-effects. NSAIDs like ibuprofen are considered if acetaminophen is ineffective.
Correct Answer is ["10"]
Explanation
Calculation:
Prescribed dose = 25 mg
Available concentration = 12.5 mg / 5 mL
- Calculate the volume to administer.
Volume (mL) = (Prescribed dose / Available concentration) × Volume in concentration
= (25 mg / 12.5 mg) × 5 mL
= 2 × 5 mL
= 10 mL
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.