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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reassess the area in 8 hours
Delaying action may result in wound dehiscence or further tissue damage.
B. Stop the machine and notify the primary care provider
Signs of wound stress (opening, tightness) require immediate discontinuation of the CPM and notification of the provider to prevent further damage.
C. Increase the angle of the flexion of the joint to change the pressure on the heel
Increasing the angle may worsen the wound separation and increase pressure on the incision.
D. Pad the portion of the machine that the heel rests on
Padding may prevent pressure injury but does not address the wound issue or tightness from movement.
Correct Answer is A
Explanation
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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