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. Internal rotation. Internal rotation can lead to dislocation of the hip prosthesis and should be avoided.
B. External rotation. External rotation is also not recommended as it can strain the hip joint and lead to dislocation.
C. Adduction. Adduction (bringing the leg toward the midline) increases the risk of hip dislocation.
D. Abduction Correct. Abduction (moving the leg away from the midline) helps prevent dislocation by keeping the prosthesis in a stable position.
Correct Answer is A
Explanation
A. "Your provider may prescribe a central catheter line for long-term antibiotics." Correct. Osteomyelitis often requires long-term intravenous antibiotics, and a central catheter line is typically used for this purpose.
B. "You may need to apply a cold pack to the site three times per day." Cold therapy is not a standard treatment for osteomyelitis; managing infection and inflammation through medication is key.
C. "You will need to limit consumption of high-protein foods." There is no need to limit high-protein foods; in fact, adequate nutrition, including protein, is important for healing.
D. "Your provider may ask you to walk multiple times per day to increase circulation." While mobility is important, walking on an infected heel wound might not be advisable until the infection is under control.
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