What should the nurse include in the patient education about cast drying?
Cover the cast with plastic when bathing.
Apply heat directly to the cast to speed up drying.
Use cotton swabs to clean the skin under the cast.
Keep the cast exposed to air for long periods.
The Correct Answer is A
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate neurovascular compromise. This is a serious complication that requires immediate medical attention to prevent potential tissue damage and complications.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site but do not require immediate medical attention unless accompanied by other concerning symptoms.
b. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture and is not as concerning as neurovascular compromise.
d. Stiffness and limited range of motion in nearby joints: Stiffness and limited range of motion may occur after a fracture but are not as urgent as neurovascular compromise.
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.
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