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 B

Explanation

A. Hypovolemic shock is characterized by a significant loss of blood volume. While it can occur due to severe trauma, the symptoms of shortness of breath and chest pain are more indicative of a potential respiratory issue, making Fat Embolism Syndrome (FES) a higher concern in this case.

B. Correct. Given the client's recent multiple long bone fractures and the symptoms of shortness of breath and chest pain, the nurse should be concerned about the possibility of fat embolism syndrome (FES). FES can occur as a result of long bone fractures, particularly those involving the femur, pelvis, or tibia. Fat emboli can enter thebloodstream and potentially obstruct blood vessels, leading to symptoms such as shortness of breath, chest pain, and altered mental status.

C. Venous thromboembolism (VTE) is a condition involving the formation of blood clots in the veins, which can lead to complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). While this is a consideration for clients with immobilization due to fractures, it is not the primary concern in this case based on the presenting symptoms.

D. Compartment syndrome is a condition characterized by increased pressure within a muscle compartment, leading to decreased blood flow and potential tissue damage. While it can occur after fractures, it typically presents with symptoms like severe pain, swelling, and tense muscles, rather than shortness of breath and chest pain.

A. Performing range of motion B. Checking capillary refill distal to the cast C. Teaching the client about cast care D. Managing pain

Correct Answer is B

Explanation

A. Performing range of motion: This should not be done immediately after applying the cast, as it may compromise the integrity of the cast. Range of motion exercises should be initiated once the cast has fully set and as directed by the healthcare provider.

B. Checking capillary refill distal to the cast: This is the priority after applying the cast. It assesses blood flow to the extremity below the cast. Impaired circulation could lead to serious complications, so it's crucial to monitor capillary refill promptly.

C. Teaching the client about cast care: While providing education about cast care is important, it is not the immediate priority. Ensuring proper circulation is more critical in the initial moments after applying the cast.

D. Managing pain: While pain management is important, it is not the immediate priority after applying the cast. Ensuring proper circulation and assessing for any signs of impairment take precedence. Pain management can be addressed once circulation is confirmed to be adequate.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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