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.
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Related Questions
Correct Answer is D
Explanation
Before applying a cast, the nurse should obtain a baseline neurovascular assessment of the extremity to establish normal function. This assessment will serve as a reference for comparison throughout the cast's application and during the healing process.
a. Elevating the extremity to reduce swelling is a valuable intervention but is not directly related to applying a cast. It can be performed later as part of post-cast application care.
b. Applying ice packs to the fracture site can help reduce swelling and pain but is not a step in preparing for the cast application.
c. Administering analgesics to manage pain is important, but obtaining a baseline neurovascular assessment is the priority before applying a cast.
Correct Answer is A
Explanation
Nonunion occurs when the fractured bone fails to heal and fuse together despite appropriate treatment. It is associated with persistent pain and limited function.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, but it may or may not cause persistent pain and limited function.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal but eventually heals properly. It is not specifically associated with persistent pain and limited function.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it may or may not cause persistent pain and limited function, depending on its severity and treatment response.
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