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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Related Questions
Correct Answer is B
Explanation
Regular exercise is not considered a risk factor for fractures. In fact, regular exercise, especially weight-bearing activities, can help improve bone density and reduce the risk of fractures.
a. Advanced age: Advanced age is a significant risk factor for fractures, as bone density tends to decrease with age, making bones more susceptible to fractures.
c. Osteoporosis: Osteoporosis is a condition characterized by low bone density and increased risk of fractures, particularly in postmenopausal women and older adults.
d. History of previous fractures: Having a history of previous fractures is considered a risk factor, as it may indicate underlying bone fragility and susceptibility to future fractures.
Correct Answer is C
Explanation
Smoking is associated with an increased risk of fractures because it can negatively impact bone health, reduce bone density, and impair bone healing.
a. Adequate calcium intake: Adequate calcium intake is essential for maintaining strong bones and reducing the risk of fractures, so it is not associated with an increased risk.
b. Regular weight-bearing exercise: Regular weight-bearing exercise helps improve bone density and reduces fracture risk, so it is not associated with an increased risk.
d. Maintaining a healthy body weight: Maintaining a healthy body weight is beneficial for overall health, but it is not specifically associated with an increased risk of fractures.
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