A nurse is caring for a client who has a cast on their left lower leg. Which of the following actions should the nurse take?

Massage areas around the edge of the client's cast with lotion.

Avoid elevating the extremity when the client is resting in bed.

Give the client a dull object to scratch the skin under the cast.

Tell the client to report any numbness in their toes.

Answer and Explanation

The Correct Answer is D

A.   Massaging areas around the edge of the cast with lotion can introduce moisture and compromise the integrity of the cast, increasing the risk of skin breakdown and infection.
B.   Elevating the extremity when the client is resting in bed helps reduce swelling and improve circulation, promoting healing. It is an appropriate action for a client with a cast.
C.   Inserting objects under the cast can damage the skin, increase the risk of infection, or disrupt the integrity of the cast.

D. Numbness can indicate impaired circulation or nerve compression and warrants immediate assessment, making this the correct action.

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Correct Answer is D

Explanation

A. Hypernatremia: Hypernatremia (elevated sodium levels) is not typically associated with the emergent phase of burn injuries.
B. Hypercalcemia: Hypercalcemia (elevated calcium levels) is not typically associated with the emergent phase of burn injuries.
C. Hypermagnesemia: Hypermagnesemia (elevated magnesium levels) is not typically associated with the emergent phase of burn injuries.
D. Hyperkalemia: Hyperkalemia (elevated potassium levels) is a common electrolyte imbalance seen in the emergent phase of burn injuries due to the release of potassium from damaged cells.
It can lead to cardiac dysrhythmias and other complications if not promptly addressed.

A. "The contraceptive effect will continue for 6 months following discontinuation of the medication." B. "Start the first patch on the seventh day of the menstrual cycle." C. "Apply the patch to the lower abdomen." D. "Expect to have a headache during the first month."

Correct Answer is B

Explanation

A. Incorrect. The contraceptive effect of a combination contraceptive transdermal patch does not continue for 6 months following discontinuation. Fertility typically returns soon after stopping the patch.
B. Correct. When starting a combination contraceptive transdermal patch, it is usually recommended to apply the first patch on the first day of the menstrual cycle or on the Sunday after the menstrual cycle starts. If applying it on the Sunday, the client should start on the seventh day of the menstrual cycle.
C. Incorrect. The patch should be applied to clean, dry, intact skin on the buttocks, abdomen, upper outer arm, or upper torso, but not specifically to the lower abdomen.
D. Incorrect. While headaches are a possible side effect of combination contraceptive methods, they are not universally experienced by all users, and they may occur at any point during use, not just during the first month.

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A nurse is caring for a client who has a cast on their left lower leg. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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