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When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

palms only.

palms and flat parts of fingers.

fingertips and flat parts of fingers.

fingertips and palms.

Answer and Explanation

The Correct Answer is A

A. Palms only.

Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.

B. Palms and flat parts of fingers.

Using palms is safest; fingers can still create indentations if not careful.

C. Fingertips and flat parts of fingers.

Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.

D. Fingertips and palms.

Fingertips should be avoided entirely when handling a fresh cast.

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Correct Answer is D

Explanation

A. Determining the client's mobility

Important for safety and fall prevention, but not the first priority during care planning.

B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel

This is part of orientation and education but does not help in personalized care planning.

C. Introducing health care team members to the client

While courteous and important for building rapport, it’s not the first step in individualized care planning.

D. Understanding the client's routine for his own care at home

This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.

A. left the patient with the lap robe tucked underneath. B. left the brakes of the wheelchair unlocked. C. placed the patient's feet centered on the footrests. D. placed slippers on the patient.

Correct Answer is B

Explanation

A. Left the patient with the lap robe tucked underneath.

A lap robe is used for warmth and comfort; tucking it under does not pose a risk.

B. Left the brakes of the wheelchair unlocked.

Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.

C. Placed the patient's feet centered on the footrests.

Feet should be properly placed to avoid dragging or injury.

D. Placed slippers on the patient.

This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.

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When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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