A client with a right tibial fracture is being discharged home after having a cast applied. What instruction should the nurse provide about the client's cast care?

"Use a clean object to scratch itches inside the cast

"Keep your right leg elevated above heart level"

"Cover the cast with a blanket until the cast dries"

"A foul smell from the cast is normal after the first few days."

Answer and Explanation

The Correct Answer is B

Rationale:
A. Inserting objects into the cast to relieve itching can damage the skin and lead to infection. It should be strictly avoided.
B. Elevating the leg above heart level helps reduce swelling and promotes venous return, especially in the first 24–48 hours after cast application. This is an important self-care instruction.
C. Covering the cast can trap moisture and heat, delaying drying and increasing the risk of skin irritation or infection.
D. A foul odor from the cast may indicate infection and should be reported immediately—it is not a normal finding.

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Correct Answer is B

Explanation

Rationale:
A. Salad bars can be a source of bacteria and are not recommended for neutropenic clients due to the high risk of infection from improperly washed or handled foods.
B. Bottled water is a safe option for clients with neutropenia, as it reduces exposure to potential contaminants found in tap water.
C. Raw vegetables, including spinach, tomatoes, and cucumbers, carry a higher risk of bacterial contamination and should be avoided by neutropenic patients.
D. Buffets pose a risk of exposure to pathogens due to prolonged food sitting time and shared serving utensils, making them unsafe for immunocompromised clients.

A. Check the client's 24-hour fluid balance B. Reducing the rate of the TPN infusion by half C. Perform a finger-stick blood glucose check D. Assessing the client's vital signs

Correct Answer is C

Explanation

Rationale:
A. While reviewing fluid balance is important, it is not the priority in response to symptoms of hyperglycemia.
B. Reducing the TPN rate without verifying the cause of symptoms could lead to undernourishment or abrupt changes in glucose levels.
C. Blurred vision, dry mouth, and frequent urination are classic signs of hyperglycemia. Since TPN contains high levels of glucose, a finger-stick blood glucose check is the priority to confirm and address potential hyperglycemia.
D. Vital signs are important, but do not directly assess the suspected cause of the client's symptoms in this case.

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A client with a right tibial fracture is being discharged home after having a cast applied. What instruction should the nurse provide about the client's cast care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Correct Answer is B

Explanation

The nurse is caring for a client who was started on total parenteral nutrition (TPN) 2 days previously. The client complains of blurred vision, dry mouth, and frequent urination. Which is the nurse's priority action?

Correct Answer is C

Explanation

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