A nurse is caring for a client who has a cast on their left lower leg. Which of the following actions should the nurse take?
Massage areas around the edge of the client's cast with lotion.
Avoid elevating the extremity when the client is resting in bed.
Give the client a dull object to scratch the skin under the cast.
Tell the client to report any numbness in their toes.
The Correct Answer is D
A. Massaging areas around the edge of the cast with lotion can introduce moisture and compromise the integrity of the cast, increasing the risk of skin breakdown and infection.
B. Elevating the extremity when the client is resting in bed helps reduce swelling and improve circulation, promoting healing. It is an appropriate action for a client with a cast.
C. Inserting objects under the cast can damage the skin, increase the risk of infection, or disrupt the integrity of the cast.
D. Numbness can indicate impaired circulation or nerve compression and warrants immediate assessment, making this the correct action.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Restricting the client's fluid intake is not appropriate for Parkinson's disease management.
Adequate hydration is important to prevent complications such as constipation and urinary tract infections.
B. Keeping suction equipment at the client's bedside is important because Parkinson's disease can affect swallowing and increase the risk of aspiration. Having suction equipment readily available can help manage secretions and prevent aspiration pneumonia.
C. Instructing the client to look down when ambulating is not specifically related to Parkinson's disease management. Instead, clients with Parkinson's disease may benefit from visual cues and strategies to improve balance and mobility.
D. Positioning the client supine after eating is not recommended, as it may increase the risk of aspiration. Clients with Parkinson's disease may benefit from remaining upright after meals to facilitate digestion and reduce the risk of aspiration.
Correct Answer is A
Explanation
A. This is the correct answer. Reduction in blood pressure is a common therapeutic response to morphine administration. Morphine acts as a vasodilator, which can lead to decreased blood pressure.
B. Diaphoresis, or sweating, is not necessarily a therapeutic response to morphine. It may indicate other physiological responses or side effects.
C. Grimacing suggests pain or discomfort, which is not a therapeutic response but rather an indication that the pain relief from morphine may not be sufficient.
D. An elevated heart rate is not typically a therapeutic response to morphine and may indicate pain, anxiety, or other factors.
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