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 B

Explanation

A. Drying time is typically shorter with a synthetic cast compared to a plaster cast. Synthetic casts are designed to set faster, reducing the time the patient needs to remain immobilized during casting.

B. A synthetic cast is generally lighter in weight than a plaster cast. This can be more comfortable for the patient and may reduce the risk of muscle atrophy or discomfort associated with the cast's weight.

C. A plaster cast does not necessarily require expensive equipment for application, and both plaster and synthetic casts can be applied using relatively simple and cost-effective methods.

D. The effectiveness of immobilization is not significantly different between plaster and synthetic casts. Both types of casts can provide adequate immobilization for bone fractures, and the choice between them may depend on factors like patient preference, the type of fracture, and other clinical considerations.

A. Stretching exercises B. High-impact aerobics C. Riding a bicycle D. Walking briskly

Correct Answer is D

Explanation

A. Stretching exercises are beneficial for improving flexibility and range of motion. This however doesnt load bones to slow down osteoporosis.

B. High-impact aerobics can increase the risk of fractures in individuals with osteoporosis due to the stress on bones. It is not a recommended form of exercise.

C. Riding a bicycle is a low-impact exercise that can be beneficial for cardiovascular health, but it may not specifically address the needs of osteoporosis.

D. Walking briskly is a weight-bearing exercise that can help strengthen bones. It's a good recommendation for clients with osteoporosis.

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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

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Correct Answer is D

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