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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale for A: Straining during bowel movements can increase intraocular pressure, which is harmful for clients recovering from glaucoma surgery. Using stool softeners helps prevent constipation and reduces the risk of increased intraocular pressure.
Rationale for B: Avoiding bright sunlight is not necessary for postoperative care after laser surgery for glaucoma. The use of protective eyewear or sunglasses when outdoors may be recommended, but altering work shifts is not typically advised.
Rationale for C: While eye drops are essential in managing glaucoma, the duration of their use will depend on the client’s condition and follow-up appointments. Long-term use is often required, but the exact duration is individualized.
Rationale for D: A low-protein diet is not a typical part of postoperative care for glaucoma. Dietary restrictions related to glaucoma typically focus on maintaining overall health, but protein intake is not specifically restricted.
Correct Answer is A
Explanation
A. Providing a tour of the perioperative area prior to surgery helps familiarize the adolescent with the environment, reducing anxiety and promoting a sense of control over the situation.
B. Explaining that anesthesia is a special type of sleep is oversimplifying and may not provide the adolescent with a clear understanding of the procedure. It's important to provide accurate information at a developmentally appropriate level.
C. Waiting until after surgery to explain the importance of coughing and deep breathing misses an opportunity for preoperative education. Teaching about postoperative care beforehand allows the adolescent to understand and participate in their own recovery process.
D. Keeping medical equipment out of the client's sight may reduce anxiety, but it does not address the adolescent's need for preparation and education about the surgical experience.
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