A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which
instruction should the practical nurse (PN) provide to the client prior to discharge?
Apply a cold pack to any "hot spots" on the cast.
Keep the left leg in a dependent position.
Expect some increase in pain.
Never scratch under the cast.
The Correct Answer is D
When providing instructions to a client with a below-the-knee cast for a compound fracture of the left ankle, it is important to prioritize their safety and proper care of the cast. The instruction to never scratch under the cast is crucial for preventing complications and maintaining the integrity of the cast.
Let's evaluate the other options:
a) Apply a cold pack to any "hot spots" on the cast.
Applying a cold pack to any "hot spots" on the cast may help alleviate discomfort or itching, but it is not the highest priority instruction. Preventing scratching under the cast is more important to avoid skin damage or infection.
b) Keep the left leg in a dependent position.
Keeping the left leg in a dependent position (hanging down) is not the appropriate instruction for a client with a below-the-knee cast. It is generally recommended to elevate the injured limb to reduce swelling and promote proper blood flow. Elevating the leg would involve keeping it raised above the level of the heart.
c) Expect some increase in pain.
While it is possible for the client to experience some increase in pain after the application of a cast, this instruction alone is not comprehensive or specific enough for proper discharge education. Providing information about pain management strategies or when to seek medical atention for excessive pain would be more appropriate.
In summary, when discharging a client with a compound fracture of the left ankle and a below-the-knee cast, the practical nurse (PN) should provide the instruction to never scratch under the cast. This helps prevent complications and maintain the integrity of the cast, promoting proper healing of the fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Scheduling energy-intensive activities at the time of day when the client has higher energy levels is an activity plan that would best conserve the client's energy without compromising physical or mental health because it allows the client to perform tasks when they feel most capable and comfortable, as well as balance rest and activity throughout the day.
Choice B reason: Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can cause fatigue, stress, and frustration for the client, as well as reduce their mobility and function.
Choice C reason: Scheduling toilet breaks before and after any other planned activity is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can limit the client's fluid intake and output, as well as increase the risk of urinary tract infections or constipation.
Choice D reason: Scheduling the client's hygiene activities and limiting visitors is not an activity plan that would best conserve the client's energy without compromising physical or mental health because it can neglect the client's social and emotional needs, as well as isolate the client from their support system.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: The integumentary system is a portal of entry for anthrax because the bacteria can enter through cuts or abrasions on the skin, causing cutaneous anthrax, which is the most common and least severe form of the diseasE.
Choice B reason: The endocrine system is not a portal of entry for anthrax because the bacteria do not affect the glands or hormones of the body.
Choice C reason: The central nervous system is a portal of entry for anthrax because the bacteria can invade the brain and spinal cord, causing meningitis, which is a rare but fatal complication of anthrax infection.
Choice D reason: The renal system is not a portal of entry for anthrax because the bacteria do not affect the kidneys or urinary tract.
Choice E reason: The respiratory system is a portal of entry for anthrax because the bacteria can be inhaled into the lungs, causing inhalation anthrax, which is the most deadly and difficult to treat form of the diseasE.
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