What should the nurse include in the discharge teaching for a patient with a newly applied cast?
Encouraging the patient to bear full weight on the cast immediately
Instructing the patient to elevate the casted limb above the heart
Advising the patient to use a heating pad on the cast to relieve discomfort
Educating the patient about signs of neurovascular compromise
The Correct Answer is D
: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.
a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.
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Correct Answer is C
Explanation
Calcium supplements are commonly prescribed to promote bone healing in patients with fractures. Adequate calcium intake is essential for bone repair and regeneration.
a. Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs may help manage pain and inflammation, but they do not directly promote bone healing and may even inhibit it in some cases.
b. Antibiotics: Antibiotics are prescribed to treat or prevent infection, but they do not play a direct role in bone healing unless an infection is present.
d. Bisphosphonates: Bisphosphonates are used to treat osteoporosis and other bone disorders but are not typically prescribed specifically for fracture healing.
Correct Answer is B
Explanation
It is crucial for the patient to regularly check for signs of skin irritation and redness around the cast edges. Skin irritation and redness can indicate pressure points or infection, and early identification can prevent complications.
a. Breaking off rough edges of the cast with scissors can damage the cast and compromise its structural integrity. The patient should not alter the cast in any way.
c. Using lotion to moisturize the skin under the cast is not recommended, as it can lead to skin irritation and may compromise the cast's fit and function. The skin under the cast should be kept dry and clean.
d. Using a heating pad to alleviate discomfort is not recommended, as excessive heat can lead to skin irritation and may weaken the cast. The patient should use ice packs or follow the healthcare provider's instructions for pain management.
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