165. A nurse is collecting a specimen for an aerobic culture from a client who has a draining pressure injury. Identify the sequence of actions the nurse should follow. (Move the Steps into the box on the right. placing them in the order of performance. use all the steps.)

A. Palpate the pulse distal to the cast: Assessing circulation is the priority after cast application to detect signs of compartment syndrome or impaired perfusion. A diminished or absent distal pulse may indicate an emergency requiring immediate intervention.
B. Place an ice pack over the cast: Applying ice can reduce swelling and discomfort in the first 24 to 48 hours, but it is a supportive measure. It should be done after confirming that circulation is intact.
C. Teach the client to keep the cast clean and dry: Client education is important for long-term cast care, but it is not an immediate priority following application. Circulatory checks take precedence to prevent complications.
D. Position the casted extremity on a pillow: Elevation helps minimize swelling and promote venous return, but it should be done after confirming that blood flow is adequate and not compromised by the cast.

A. Apply splints to the child's extremities during the day: Splints are typically used at night to support proper joint positioning and reduce stiffness during rest. Using them during the day may limit the child’s mobility and interfere with normal activity, which is not ideal for joint health.
B. Keep the child on bedrest as long as pain persists: Prolonged bedrest can lead to increased joint stiffness and muscle wasting. Maintaining activity within comfort levels is encouraged to promote mobility and joint flexibility.
C. Have the child take a tub bath each morning: Warm tub baths in the morning help to relieve joint stiffness, improve circulation, and make it easier for the child to move comfortably throughout the day. This non-pharmacologic intervention supports daily function.
D. Encourage the child to take naps during the day: While adequate rest is important, excessive daytime napping may reduce physical activity, which is necessary to maintain joint function and overall well-being in juvenile idiopathic arthritis.