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 D
Explanation
Closed reduction is a non-surgical procedure used to manually realign the fractured bone to its normal position without making an incision. It is often followed by cast immobilization or other forms of stabilization.
a. To surgically realign the fractured bone: Surgical realignment is typically performed through open reduction and internal fixation (ORIF), not closed reduction.
b. To stabilize the fracture with internal fixation: Internal fixation involves the use of screws, plates, or rods to stabilize fractures, and it is not part of the closed reduction procedure.
c. To immobilize the fractured bone with a cast: Immobilization with a cast may follow closed reduction, but it is not the primary goal of the reduction procedure itself.
Correct Answer is A
Explanation
A greenstick fracture is an incomplete fracture where the bone breaks incompletely, with one side bending and the other side breaking. It is commonly seen in children due to their more flexible bones.
b. Comminuted fracture: A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, but it does not involve one side bending and the other side breaking.
c. Spiral fracture: A spiral fracture occurs when the bone is twisted, resulting in a spiral-shaped fracture line. It does not involve one side bending and the other side breaking.
d. Oblique fracture: An oblique fracture occurs when the bone breaks at an angle, but it does not involve one side bending and the other side breaking.
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