A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?
Use your palms to move the cast.
Do not move the cast until it is dry.
Have the patient reposition their own leg.
Use your fingertips to grasp the cast.
The Correct Answer is A
A. Use your palms to move the cast. Using the palms prevents indentations that can cause pressure points and potential injury to the patient.
B. Do not move the cast until it is dry. The cast may need to be moved for various reasons, and waiting until it is completely dry may not be practical or safe.
C. Have the patient reposition their own leg. The patient should not move the leg to prevent potential damage or misalignment.
D. Use your fingertips to grasp the cast. Using fingertips can create pressure points and indentations in the still-damp plaster, potentially causing skin breakdown or pressure sores.
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Related Questions
Correct Answer is D
Explanation
A. Bone biopsy: A bone biopsy involves taking a sample of bone tissue, which is not relevant for diagnosing septic arthritis.
B. Arthroscopy: Arthroscopy is a procedure that involves inserting a camera into the joint to visualize the interior but is not specifically for fluid aspiration.
C. Magnetic resonance imaging (MRI): MRI provides detailed images of soft tissues, joints, and bones but is not a direct method for aspirating synovial fluid.
D. Arthrocentesis: Arthrocentesis is the procedure of aspirating synovial fluid from the joint space, which is essential for diagnosing septic arthritis.
Correct Answer is C
Explanation
A. Apply heat during the first 24 hr. Applying heat can increase swelling and should be avoided initially. Ice is recommended to reduce swelling.
B. Place moderate weight on the affected leg when walking. The affected leg should not bear weight until the initial acute phase of the injury has passed and pain/swelling has decreased.
C. Elevate the affected ankle to the level of the heart. Correct. Elevating the ankle helps to reduce swelling and promote venous return.
D. Apply the elastic compression dressing tight enough so the toes and ankle become numb. The compression dressing should be snug but not so tight that it restricts blood flow, which can lead to numbness and further injury.
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