A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?

"Trim off the rough edges of the cast if it bothers you in order to promote comfort."

"You might feel tightness and pain with the cast and that is a normal feeling."

"You might feel itchy under the cast, and it is okay to scratch under the cast with a very slim tool."

"Once the cast is dry, you can shower if you cover it with a plastic covering"

Answer and Explanation

The Correct Answer is D

A. "Trim off the rough edges of the cast if it bothers you in order to promote comfort.": The rough edges should be addressed by the healthcare provider to prevent injury to the skin, as cutting the cast improperly could cause damage to the structure or harm the client.

B. "You might feel tightness and pain with the cast and that is a normal feeling.": Tightness and pain could indicate complications such as compartment syndrome, which requires immediate attention. The client should report any unusual or severe pain, and tightness.

C. "You might feel itchy under the cast, and it is okay to scratch under the cast with a very slim tool.": Scratching under the cast with any object can cause skin irritation, injury, or infection. Itching can be managed with prescribed methods, but inserting objects into the cast should be avoided.

D. "Once the cast is dry, you can shower if you cover it with a plastic covering.": After the cast is fully dry, the client can protect it from water by covering it with a plastic bag or other waterproof covering during showers to keep it dry and intact.

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Correct Answer is C

Explanation

A. "Plan to void every 6 hours.": Voiding every 6 hours may not be appropriate for clients with stress incontinence. A more individualized schedule based on the client's needs and fluid intake is better. Holding urine for too long could worsen symptoms.

B. "Squeeze your legs together when you feel the urge to void.": This is not effective in managing stress incontinence. Instead, strategies like pelvic muscle exercises (Kegel exercises) can help strengthen the muscles that control urination.

C. "Perform Kegel exercises three times daily.": Kegel exercises help strengthen the pelvic floor muscles, which can reduce stress incontinence by improving bladder control. This is an effective and recommended strategy for managing the condition.

D. "Drink 1 liter of fluids a day.": Restricting fluids can concentrate urine, irritating the bladder and worsening incontinence. It’s generally better to maintain adequate hydration, typically around 2 liters of fluids daily, unless otherwise directed by the healthcare provider.

A. Ensure the door to the client's room remains open. B. Wear sterile gloves during patient care. C. Wear a lead apron when providing client care. D. Place a dosimeter on the client's gown.

Correct Answer is C

Explanation

A. Ensure the door to the client's room remains open: The door should be kept closed to minimize exposure to radiation. Keeping the door open increases the risk of radiation exposure to others in the area.

B. Wear sterile gloves during patient care: Sterile gloves are not required for care during internal radiation therapy unless there is direct contact with bodily fluids or radioactive materials. Standard precautions are sufficient.

C. Wear a lead apron when providing client care: A lead apron is recommended for healthcare workers to protect themselves from radiation exposure during internal radiation therapy. The lead apron absorbs radiation and helps reduce the risk of harmful exposure.

D. Place a dosimeter on the client's gown: The dosimeter is typically worn by healthcare workers to measure radiation exposure, not the client. The client would not wear a dosimeter in this situation.

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A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?

Nursing Test Bank

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