A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

Drying time is prolonged with a synthetic cast.

A synthetic cast is weighs less.

A plaster cast requires expensive equipment for application.

A synthetic case immobilizes bone fractures more effectively.

Answer and Explanation

The Correct Answer is B

A. This statement is incorrect. Drying time is actually shorter with a synthetic cast compared to a plaster cast. Synthetic casts use a chemical reaction for hardening, which typically sets faster than the drying process of plaster.

B. Correct. A synthetic cast is generally lighter in weight compared to a plaster cast. This can be more comfortable for the patient and may provide better mobility.

C. This statement is incorrect. Plaster casts do not necessarily require expensive equipment for application. Both types of casts require appropriate materials and training for application, but cost can vary based on factors like the type of material and the specific clinical setting.

D. This statement is incorrect. Both plaster and synthetic casts are effective for immobilizing bone fractures when applied correctly. The choice between the two often depends on factors such as the type of fracture, patient comfort, and clinician preference.

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Correct Answer is C

Explanation

A. Mild erythema (redness) at the pin sites can be a normal finding due to the body's response to the presence of foreign objects. It may not necessarily indicate infection.

B. Serosanguineous drainage (a mixture of clear and bloody fluid) can also be a normal finding initially after the insertion of pins. It may not necessarily indicate infection.

C. Fever is a systemic response to infection. In a client with skeletal traction, fever can be an indication of an infection at the pin sites or a more systemic infection related to the traction device.

D. Warmth around the pin sites can be a normal finding due to the inflammatory response that occurs after pin insertion. It may not necessarily indicate infection.

A. Palpate the femoral pulse. B. Measure the circumference of the thigh. C. Monitor client's calf for edema. D. Instruct the client to wiggle his toes.

Correct Answer is A

Explanation

A. Palpating the femoral pulse is an essential part of assessing the neurovascular status of a client with a femur fracture. The presence and strength of the femoral pulse can indicate adequate blood flow to the lower extremity.

B. While measuring the circumference of the thigh can provide some information about swelling or changes in the size of the limb, it does not directly assess neurovascular status.

C. Monitoring the client's calf for edema is important for assessing for signs of deep vein thrombosis (DVT) or venous insufficiency, but it is not the primary technique for assessing neurovascular status.

D. Instructing the client to wiggle his toes is a way to assess motor function and nerve function, which is part of the neurovascular assessment. However, it is not the initial step in assessing neurovascular status in a client with an unrepaired femur fracture. The femoral pulse should be assessed first to ensure adequate blood flow.

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A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

Correct Answer is C

Explanation

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

Correct Answer is A

Explanation

A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?

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A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?

A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

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