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
An oblique fracture involves a break in the bone that is at an angle to the long axis of the bone. It is often the result of a diagonal force applied to the bone.
b. Spiral fracture: A spiral fracture occurs when the bone is twisted, causing a spiral-shaped fracture line. It often results from a twisting force applied to the bone and is not specifically at an angle to the long axis of the bone.
c. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone and is not at an angle.
d. 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. It is not specifically at an angle to the long axis of the bone.
Correct Answer is D
Explanation
Osteoporosis is a condition characterized by weakened and porous bones, leading to an increased risk of fractures, especially in the hip, spine, and wrist.
a. Arthritis: Arthritis is a condition that involves joint inflammation and may cause joint pain and stiffness but does not directly weaken bones.
b. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the cartilage and joints, but it does not specifically increase the risk of fractures.
c. Osteomyelitis: Osteomyelitis is a bone infection that can lead to bone destruction and inflammation but does not directly weaken bones to the same extent as osteoporosis.
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