A nurse is caring for a patient with a fracture.
The patient asks, "Why is it important to keep the cast dry?" Which response by the nurse is most appropriate?

Choice A rationale:

Don't worry; bones always heal perfectly.

Rationale: This response is overly reassuring and not entirely accurate.

While bones have the potential to heal well, they may not always heal perfectly, and it's important to monitor the healing process to ensure proper alignment.

Choice B rationale:

We'll monitor your bone healing closely to ensure it aligns correctly.

Rationale: This is the correct response.

It acknowledges the client's concern and provides assurance that the healthcare team will closely monitor the bone healing process to ensure that it aligns correctly.

This response promotes open communication and patient-centered care.

Choice C rationale:

Fractures often heal with some degree of deformity; it's normal.

Rationale: This response may unnecessarily raise concerns for the client.

While some fractures may result in slight deformities during the healing process, it's not appropriate to label this as "normal" without assessing the specific fracture and its potential outcomes.

Choice D rationale:

Proper nutrition doesn't really affect bone healing.

Rationale: This response is inaccurate.

Proper nutrition plays a significant role in bone healing, and it's essential for the nurse to educate the client about the importance of maintaining a balanced diet to support the healing process.

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.