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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A compression fracture is commonly seen in osteoporotic bones, especially in older adults, due to decreased bone density and strength. It occurs when the bone is compressed and collapses, often resulting from a fall or minor trauma.
b. Avulsion fracture: An avulsion fracture occurs when a small piece of bone is torn away from the main bone due to the pull of a ligament or tendon. It can happen in individuals of all ages.
c. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side.
d. Impacted fracture: An impacted fracture occurs when the broken ends of the bone are driven into each other, often seen in long bones like the femur or humerus. It can occur in individuals of all ages.
Correct Answer is B
Explanation
Compartment syndrome is a severe condition that results from increased pressure within a closed space (compartment) in the body, such as the muscle compartment near the fracture site. It can lead to decreased blood flow, nerve compression, and tissue damage.
a. Infection: Infection is a complication of fractures caused by the introduction of bacteria into the body, and it does not involve increased pressure within a closed space.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal and is not related to increased pressure within a closed space.
d. Osteomyelitis: Osteomyelitis is a bone infection that can occur as a complication of fractures and is not specifically related to increased pressure within a closed space.
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