A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

dry and dirty.

moist and pink.

moist and white

dry and greenish.

Answer and Explanation

The Correct Answer is A

A. Dry and dirty

Skin under a cast is typically dry, flaky, and appears dirty due to the accumulation of dead skin cells and lack of exposure to air and water.

B. Moist and pink

Moist and pink skin suggests healthy, well-hydrated tissue, which is not typical after cast removal.

C. Moist and white

Moist and white skin may indicate maceration, which can occur under wet dressings, not a dry cast.

D. Dry and greenish

Green discoloration is not a normal finding and may suggest infection, which is not expected under a dry cast unless there were complications.

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Correct Answer is D

Explanation

A. Hyperextension

Hyperextension refers to bending backward beyond the normal range.

B. Lateral flexion

Lateral flexion involves bending the neck to the side, ear toward shoulder.

C. Rotation

Rotation refers to turning the head side-to-side (e.g., shaking head “no”).

D. Flexion

Touching the chin to the chest is flexion of the neck-bending forward.

A. cover the pin with several gauze pads and tape securely. B. assure the patient that such drainage is expected. C. notify the charge nurse of possible infection. D. wipe off drainage with a damp wash cloth.

Correct Answer is B

Explanation

A. Cover the pin with several gauze pads and tape securely:

This may trap moisture and increase infection risk. Pin sites need to be monitored and cleaned regularly.

B. Assure the patient that such drainage is expected:

Serous drainage is a normal finding after pin insertion. Reassurance is appropriate unless signs of infection are present.

C. Notify the charge nurse of possible infection:

This may be premature without signs of infection (e.g., purulent drainage, redness, fever).

D. Wipe off drainage with a damp wash cloth:

This is not a sterile technique and may introduce infection. Pin site care should follow sterile protocol.

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A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?

Correct Answer is D

Explanation

An anxious patient in skeletal traction is distressed by the clear fluid drainage that is oozing from the pin sites. The nurse's best intervention would be to:

Correct Answer is B

Explanation

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