** .A client with an open fracture complains of intense pain.
What intervention should the nurse prioritize for pain management?

Choice A rationale:

Administering antibiotics to prevent infection is an important intervention for clients with open fractures to reduce the risk of infection.

However, in a client with an open fracture complaining of intense pain, the immediate priority should be to address their pain and provide analgesics (Choice B) to alleviate suffering and improve comfort.

Infection prevention measures can be implemented once pain management is initiated.

Choice B rationale:

Providing analgesics as prescribed is the most appropriate intervention for a client with an open fracture complaining of intense pain.

Open fractures are associated with significant pain due to the exposure of bone and soft tissues, and effective pain management is essential for the client's comfort and well-being.

Choice C rationale:

Applying a warm compress to the affected area may provide some comfort but is not the primary intervention for pain management in a client with an open fracture.

The priority should be to administer analgesics and provide appropriate wound care.

Choice D rationale:

Initiating physical therapy immediately is not the immediate priority for a client with an open fracture complaining of intense pain.

Physical therapy typically follows fracture stabilization, wound management, and pain control.

It is essential to address the client's pain and wound care needs first.

Choice A rationale:

Keeping the cast dry prevents itching and discomfort.

Rationale: While it's true that a wet cast can cause itching and discomfort, this response does not adequately address the importance of keeping the cast dry from a medical perspective.

It focuses on the patient's comfort rather than the potential complications associated with a wet cast.

Choice B rationale:

Moisture can weaken the cast and affect its ability to support the bone.

Rationale: This is the correct response.

Moisture can indeed weaken the cast material, causing it to lose its structural integrity and support for the fractured bone.

Choice C rationale:

Dry casts are easier to clean and maintain.

Rationale: While dry casts may be easier to clean and maintain, this response does not address the primary reason for keeping the cast dry, which is to maintain its strength and support for the bone.

Choice D rationale:

It's just a precaution; you can get the cast wet occasionally.

Rationale: This response is incorrect and could lead to the patient misunderstanding the importance of keeping the cast dry.

Getting the cast wet occasionally is not recommended, as it can weaken the cast and increase the risk of complications.