A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home education plan information relative to: (Select all that apply.)
using the spreader bar to turn the patient.
protecting the cast from soiling.
grasping the cast over the leg to help in turning.
easing itching under the cast by scratching with a bent coat hanger.
turning frequently to the prone position.
Correct Answer : B,E
A. Using the spreader bar to turn the patient.
The spreader bar is not designed for lifting or turning; it maintains cast shape and stability.
B. Protecting the cast from soiling.
Soiling the cast can lead to skin irritation and infection, especially in the perineal area.
C. Grasping the cast over the leg to help in turning.
This can cause pressure points or cast damage; turning should be done using proper support techniques.
D. Easing itching under the cast by scratching with a bent coat hanger.
This is unsafe and can cause skin injury or infection under the cast.
E. Turning frequently to the prone position.
Frequent position changes, including prone if tolerated, help prevent pressure sores and promote circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. False
The statement is false because all listed effects are known complications of prolonged immobilization.
Correct Answer is ["A","B","D"]
Explanation
A. Lock the wheels on beds and wheelchairs during transfers
Locking wheels prevents rolling, ensuring safety during movement.
B. Place the bedside table within the client's reach
Keeping frequently used items within reach reduces unnecessary movement and fall risk.
C. Keep the bed at a comfortable working height
The bed should be kept in the lowest position, not a working height, to reduce risk if the client tries to get up unassisted.
D. Keep a night light on in the client's room and bathroom
Adequate lighting prevents tripping and promotes safety during nighttime bathroom trips.
E. Administer a sedative at bedtime
Sedatives increase the risk of confusion, dizziness, and falls, especially in older adults.
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