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.

Answer and Explanation

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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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.

A. Malalignment of healed bones. B. Delay or absence of healing. C. Impaired mobility function. D. Development of bone infection.

Correct Answer is B

Explanation

A. Malalignment of healed bones. While malalignment can occur, it is not specifically associated with diabetes mellitus. Malalignment is more commonly related to inadequate immobilization or improper casting technique.
B. Delay or absence of healing: Diabetes mellitus impairs circulation and healing processes due to poor blood flow and neuropathy, making delayed union or non-union a significant risk.
C. Impaired mobility function. While diabetes and aging can contribute to impaired mobility, this is a general consideration and not directly related to the specific complication of the fracture healing process.
D. Development of bone infection. Although diabetics are at higher risk for infections, a closed reduction and proper cast care reduce this risk. Infection would be more of a concern with an open fracture or surgery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Correct Answer is D

Explanation

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

Correct Answer is B

Explanation

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