The nurse is evaluating a patient's understanding of cast care before discharge. Which statement by the patient indicates the need for further teaching?

“I will keep my cast dry and avoid inserting objects inside to scratch my skin."

"If I notice increased swelling, numbness, or severe pain, I will elevate my leg and notify my provider immediately."

"It's okay to use a blow dryer on a cool setting to help dry my cast if it gets wet."

“I should expect to feel extreme pain under the cast that doesn't improve with pain medication."

Answer and Explanation

The Correct Answer is D

A. “I will keep my cast dry and avoid inserting objects inside to scratch my skin.” Keeping the cast dry prevents it from softening or breaking down, which could lead to improper healing. Avoiding objects inside the cast prevents skin injuries and infections.

B. "If I notice increased swelling, numbness, or severe pain, I will elevate my leg and notify my provider immediately." Increased swelling, numbness, and severe pain can indicate compartment syndrome or impaired circulation. Elevating the leg and seeking medical attention is appropriate.

C. "It's okay to use a blow dryer on a cool setting to help dry my cast if it gets wet." A blow dryer on a cool setting can be used to help dry moisture inside the cast without causing burns or affecting the cast material.

D. “I should expect to feel extreme pain under the cast that doesn't improve with pain medication.” Extreme pain that is unrelieved by medication is abnormal and may indicate complications like compartment syndrome, infection, or pressure ulcers under the cast. The patient needs further education that severe pain should be reported immediately.

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Correct Answer is A

Explanation

A. "I will wear non-slip socks while in the hospital to reduce my risk of falling." Wearing non-slip socks provides better traction and reduces the risk of slipping, which is especially important for patients with osteoporosis who are at higher risk for fractures.

B. "I will place small rugs throughout my house to prevent slipping." Small rugs can be a tripping hazard and increase the risk of falls. Patients should be advised to remove loose rugs or secure them with non-slip backing.

C. "At home, I should not wear my glasses nearby to avoid missteps." Patients should always wear their prescribed glasses to ensure clear vision and reduce the risk of tripping over obstacles. Poor vision can contribute to falls.

D. "I don't need to do weight-bearing exercises because they won't help my bones." Weight-bearing exercises, such as walking and resistance training, help maintain bone density and reduce the risk of osteoporosis-related fractures.

A. Blurred vision or difficulty distinguishing red from green B. Increased thirst and frequent urination C. Nausea and vomiting D. Tingling sensations in the hands and feet

Correct Answer is A

Explanation

A. Blurred vision or difficulty distinguishing red from green: Ethambutol can cause optic neuritis, which may lead to vision changes, including blurred vision and difficulty distinguishing red from green. These symptoms should be reported immediately, as discontinuing the medication may be necessary to prevent permanent damage.

B. Increased thirst and frequent urination: These symptoms are more indicative of hyperglycemia or diabetes mellitus rather than a known adverse effect of ethambutol.

C. Nausea and vomiting: While nausea and vomiting are potential side effects of ethambutol, they are not as urgent as vision changes and do not typically require immediate medical attention.

D. Tingling sensations in the hands and feet: Peripheral neuropathy is more commonly associated with isoniazid rather than ethambutol.

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The nurse is evaluating a patient's understanding of cast care before discharge. Which statement by the patient indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a patient with osteoporosis about fall prevention strategies at home and in the hospital. Which statement by the patient indicates a correct understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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