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A nurse performing a head to toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

warm feet and hands.

numbness of distal limb.

palpable peripheral pulses.

capillary refill of 3 seconds.

Answer and Explanation

The Correct Answer is B

A. Warm feet and hands.

Warmth suggests good blood flow and is a normal finding.

B. Numbness of distal limb.

Numbness is a sign of neurovascular compromise, possibly from swelling or impaired circulation due to the cast.

C. Palpable peripheral pulses.

Pulses are a positive finding indicating adequate perfusion.

D. Capillary refill of 3 seconds.

Capillary refill less than or equal to 3 seconds is considered normal.

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Correct Answer is B

Explanation

A. Left the patient with the lap robe tucked underneath.

A lap robe is used for warmth and comfort; tucking it under does not pose a risk.

B. Left the brakes of the wheelchair unlocked.

Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.

C. Placed the patient's feet centered on the footrests.

Feet should be properly placed to avoid dragging or injury.

D. Placed slippers on the patient.

This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.

A. hydrotherapy B. petal C. bivalve D. splint

Correct Answer is B

Explanation

A. hydrotherapy

Hydrotherapy involves water treatment, not related to smoothing cast edges.

B. petal

Petaling is the technique of applying smooth strips of tape (usually in a petal shape) over rough edges to prevent skin irritation.

C. bivalve

Bivalving is when a cast is cut into two halves, typically to relieve pressure—not to smooth edges.

D. splint

A splint is a temporary immobilizing device, not related to the care of cast edges.

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A nurse performing a head to toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

Correct Answer is B

Explanation

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Correct Answer is B

Explanation

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