What should the nurse include in the patient education about cast care?
Avoid moving the cast to relieve itching.
Use a hairdryer on a warm setting to dry the inside of the cast.
Stick objects under the cast to scratch the skin.
Remove the cast if it becomes loose.
The Correct Answer is A
It is essential for the patient to avoid moving the cast to relieve itching as this can lead to skin breakdown, discomfort, and improper healing. The nurse should instruct the patient to use cool air or apply ice packs on the outside of the cast to alleviate itching without disturbing the cast's positioning.
b. Using a hairdryer on a warm setting to dry the inside of the cast is not recommended. The heat can cause discomfort and may not effectively dry the interior of the cast, leading to skin irritation and potential infection.
c. Sticking objects under the cast to scratch the skin can damage the skin and introduce bacteria, increasing the risk of infection. The patient should be instructed not to insert any objects under the cast.
d. Removing the cast if it becomes loose is not within the patient's scope of practice. If the cast becomes loose or uncomfortable, the patient should seek immediate medical attention for evaluation and adjustment by a healthcare professional.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The primary goal of fracture reduction and immobilization is to promote bone realignment and healing. By aligning the fractured bone properly and immobilizing it with casts or splints, the healing process is facilitated, and bone stability is ensured.
a. Reducing pain and discomfort is an important aspect of fracture management but is not the primary goal of fracture reduction and immobilization.
c. Restoring full range of motion is an essential goal of fracture rehabilitation, but it comes after the bone has healed and the immobilization is removed.
d. Minimizing the risk of infection is crucial, particularly in open fractures, but it is not the primary goal of fracture reduction and immobilization.
Correct Answer is D
Explanation
Colles' fracture is a type of distal radius fracture that results in angulation and swelling of the distal forearm near the wrist joint.
a. Pain and swelling of the ankle: Pain and swelling of the ankle are not related to a Colles' fracture, which occurs in the distal forearm, not the ankle.
b. Deformity and shortening of the affected limb: Deformity and shortening of the limb may occur in some fractures but are not specific to a Colles' fracture.
c. Loss of sensation and motor function distal to the fracture: Loss of sensation and motor function may occur in nerve injuries associated with fractures, but it is not a characteristic of Colles' fracture.
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