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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. maintaining strength in muscles.
This is a benefit of ROM exercises, but it does not directly explain how venous return improves.
B. compression of muscles on venous walls.
Muscle contraction compresses veins, helping to push blood back toward the heart, improving venous return.
C. vasodilation.
Vasodilation increases blood flow, but doesn’t directly enhance venous return in the context of ROM.
D. increased metabolism.
Increased metabolism is a systemic benefit of exercise but is not the primary mechanism of improved venous circulation.
Correct Answer is ["B","E"]
Explanation
A. Using the spreader bar to turn the patient.
The spreader bar is not designed for lifting or turning; it maintains cast shape and stability.
B. Protecting the cast from soiling.
Soiling the cast can lead to skin irritation and infection, especially in the perineal area.
C. Grasping the cast over the leg to help in turning.
This can cause pressure points or cast damage; turning should be done using proper support techniques.
D. Easing itching under the cast by scratching with a bent coat hanger.
This is unsafe and can cause skin injury or infection under the cast.
E. Turning frequently to the prone position.
Frequent position changes, including prone if tolerated, help prevent pressure sores and promote circulation.
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