A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

The client can shower with the cast after 24 hr.

The client's extremity should be elevated after the cast is applied.

The client should use a hair dryer in a warm setting to relieve itching inside the cast.

The client should keep the cast covered until it is dry.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Plaster casts are not waterproof and can become weakened if exposed to moisture, so showering with the cast is generally not recommended.
B.   Correct. Elevating the extremity can help reduce swelling and promote comfort after the cast is applied.
C.   Incorrect. Using a hair dryer inside the cast can cause burns and is not recommended for relieving itching.
D.   Incorrect. Keeping the cast covered is not necessary, and covering it can trap moisture, potentially causing skin problems.

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Correct Answer is A

Explanation

A. Correct. MRSA is spread through direct contact with infected skin or surfaces. Wearing gloves when providing care to a client with MRSA helps prevent the spread of the bacteria.
B. Incorrect. The use of HEPA filters and negative air pressure is typically reserved for airborne infections such as tuberculosis. MRSA is primarily spread through direct contact.
C. Incorrect. Negative air pressure is not typically necessary for preventing the spread of MRSA, which is primarily spread through contact.
D. Incorrect. Wearing a mask when out of the room is not a standard precaution for MRSA, which is not primarily transmitted through the airborne route.

A. Insert an oral airway into the client's mouth. B. Lower the side rails of the bed when the seizure begins. C. Measure the duration of the seizure. D. Restrain the client's arms and legs to prevent injury.

Correct Answer is C

Explanation

A. Insert an oral airway into the client's mouth.Inserting anything into the client’s mouth during a seizure is contraindicated due to the risk of oral injury, aspiration, or causing airway obstruction.

B. Lower the side rails of the bed when the seizure begins.Lowering the side rails is inappropriate and increases the risk of the client falling out of bed and sustaining an injury. Instead, the nurse should ensure padded side rails are in place or protect the client by cushioning their head and limbs if side rails are not padded.

C. Measure the duration of the seizure.It is critical to measure the duration of a seizure to provide accurate information to the healthcare team. The duration helps determine the severity of the seizure and the need for medical interventions, such as administering medications to stop prolonged seizures (status epilepticus).

D. Restrain the client's arms and legs to prevent injury.Restraint during a seizure is inappropriate and can cause musculoskeletal injuries. The nurse should allow the seizure to run its course while ensuring the client’s safety.

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A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

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