A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Inability to move toes.

Pallor of the toes.

Change in temperature of the toes.

Edema of the toes.

Answer and Explanation

The Correct Answer is B

A. Inability to move toes may be a sign of tightness in the cast, but it is not the first finding to be expected if the cast is too tight.

B. Pallor of the toes indicates compromised blood flow and is the earliest sign of circulatory impairment due to tightness of the cast.

C. Change in temperature of the toes may be a sign of impaired circulation, but it is not the earliest finding to be expected.

D. Edema of the toes may occur as a result of compromised circulation, but it is not the first finding to be expected if the cast is too tight.

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Correct Answer is C

Explanation

A. Placing weight on the heels when moving an object can lead to an improper body mechanic. The client should shift their weight onto the balls of their feet for better stability.

B. Standing with feet close together when lifting an object can also lead to improper body mechanics. The client should maintain a wide base of support by keeping their feet shoulder-width apart.

C. Facing the direction of movement when sliding an object across the floor is an example of proper body mechanics. It helps ensure that the client uses their body weight and strength efficiently.

D. Moving the front foot backward when pushing an object can help maintain balance and provide better leverage, which is a correct body mechanics technique. However, the question specifically asks about sliding an object across the floor, not pushing.

A. Avoid prolonged sitting. B. Sleep in a side-lying position with flexed knees. C. Sleep on a soft mattress. D. Try padded shoe insoles. E. Apply heat for 10 min every hour.

Correct Answer is ["A","B","D","E"]

Explanation

A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.

B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.

D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.

E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.

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A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?

Correct Answer is C

Explanation

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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