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. Overusing a muscle while jogging: This is an example of a strain, which involves muscles or tendons.

B. Crush injury to a bone from blunt trauma: Incorrect. This describes a fracture or a contusion, not a sprain or strain.

C. Impact injury on a joint from a fall: Incorrect. While a fall can cause a sprain, the impact itself is not specific to sprains; it could cause various types of injuries.

D. Twisting a ligament while walking. A sprain involves injury to ligaments, which is consistent with twisting a joint.

A. Pain unrelieved by routine medications B. Elevated WBC count C. Swelling and redness of the right leg D. Decreased oxygen saturation

Correct Answer is A

Explanation

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

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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 at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

Correct Answer is D

Explanation

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Correct Answer is A

Explanation

What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?

A nurse is collecting data from a client that is 48 hours post-operative following and open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

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The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

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