What patient education should the nurse provide to a patient with a newly applied cast?
Encouraging the patient to frequently remove the cast for skin care
Advising the patient to use a hairdryer on the cast to relieve itching
Instructing the patient to avoid placing any objects under the cast
Educating the patient to keep the cast exposed to air for prolonged periods
The Correct Answer is C
The nurse should instruct the patient to avoid placing any objects under the cast to prevent skin irritation, damage to the cast, and potential introduction of bacteria or contaminants.
a. Encouraging the patient to frequently remove the cast for skin care is not recommended, as it can compromise the cast's fit and function and increase the risk of complications.
b. Advising the patient to use a hairdryer on the cast to relieve itching is not recommended, as it can cause skin maceration and damage the cast.
d. Educating the patient to keep the cast exposed to air for prolonged periods is not recommended, as dirt and debris can get trapped inside the cast, increasing the risk of infection. The patient should follow the healthcare provider's instructions for cast care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A spiral fracture occurs due to twisting or rotational forces on the bone, resulting in a twisting break along the bone's length.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, usually seen in children. It is not caused by twisting forces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to twisting.
d. Comminuted fracture: In a comminuted fracture, the bone breaks into multiple pieces, which is not associated with twisting forces.
Correct Answer is D
Explanation
Regularly monitoring neurovascular status, including assessing pulses, capillary refill, sensation, and motor function, is essential for early detection of compartment syndrome, which can occur after a fracture. Compartment syndrome is a serious condition where increased pressure within the muscle compartment can compromise blood flow and nerve function.
a. Administering analgesics for pain relief is important, but it does not directly prevent compartment syndrome.
b. Elevating the affected limb above the heart can help reduce swelling but does not specifically prevent compartment syndrome.
c. Applying ice packs to the fracture site can help reduce pain and swelling but is not a preventive measure for compartment syndrome.
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