A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods does the nurse use to move the cast when repositioning it to prevent complications?

Asks patient to self-position leg

Monitors dampness of cast and avoids moving it until it is dry

Uses palms to move the cast

Uses fingers to grasp cast

Answer and Explanation

The Correct Answer is C

A. Asks patient to self-position leg: This is not advisable because the patient may not have the strength or capability to safely reposition the leg, especially if they are in pain or sedated.
B. Monitors dampness of cast and avoids moving it until it is dry: The cast may need to be moved before it is completely dry, for example, for patient comfort or to prevent pressure ulcers. Delaying repositioning may cause complications.
C. Uses palms to move the cast: This is the correct method. Using the palms prevents indentations in the cast that could create pressure points and lead to skin breakdown. Fingers can create pressure points that can dent the cast, compromising its integrity and potentially causing skin issues.
D. Uses fingers to grasp cast: Using fingertips can create indentations in the cast, which can lead to pressure sores or improper bone alignment.

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Correct Answer is C

Explanation

A. Reduce dietary purines.: This is more relevant for patients with gout, not osteoarthritis. Purine reduction helps control uric acid levels.
B. Begin a jogging program.: High-impact exercises like jogging can exacerbate knee pain and accelerate joint degeneration in osteoarthritis.
C. Maintain ideal body weight.: Maintaining an ideal body weight reduces stress on the knees and helps preserve joint function and delay the progression of osteoarthritis.
D. Maintain normal uric acid levels.: Uric acid levels are related to gout, not osteoarthritis. Maintaining normal levels does not directly affect osteoarthritis.

A. Diabetes mellitus B. Calcium deficiency C. Peripheral vascular problems in both legs D. An acute obstruction in the vessels of the legs

Correct Answer is C

Explanation

A. Diabetes mellitus: While diabetes can cause peripheral vascular disease, it alone does not specifically cause intermittent claudication (pain on exertion relieved by rest).
B. Calcium deficiency: Calcium deficiency is not typically associated with intermittent claudication or peripheral vascular symptoms.
C. Peripheral vascular problems in both legs: This is correct. The symptoms described are classic for intermittent claudication, which is commonly due to peripheral arterial disease (PAD). PAD causes pain due to reduced blood flow to the muscles during exertion, which is relieved by rest.
D. An acute obstruction in the vessels of the legs: Acute obstruction would likely cause more severe and persistent symptoms, such as acute pain and loss of pulses, not just pain with walking.

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A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods does the nurse use to move the cast when repositioning it to prevent complications?

Nursing Test Bank

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A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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