A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:
speeding the drying with a hair dryer.
elevating the leg on one to two pillows.
petaling the edges of the cast.
placing the patient in high Fowler's position.
The Correct Answer is B
A. Speeding the drying with a hair dryer:
This is not recommended as it can cause uneven drying and burns. Plaster casts must dry naturally.
B. Elevating the leg on one to two pillows:
Elevation promotes venous return and reduces swelling in the affected extremity.
C. Petaling the edges of the cast:
Petaling helps prevent skin breakdown from rough cast edges but does not affect edema.
D. Placing the patient in high Fowler's position:
This position benefits respiratory function but does not aid in reducing lower extremity edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hold the crutches on your unaffected side when preparing to sit in a chair
This helps maintain balance and control while transitioning from standing to sitting.
B. Hold the crutches 9 inches in front and to the side of each foot
The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.
C. Lean on the crutches to support your body weight when standing
Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).
D. Fully extend your arms when holding onto the hand grips
The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.
Correct Answer is A
Explanation
A. Abduction:
Abduction refers to movement of a limb away from the midline of the body, such as raising the arm from the side outward and upward.
B. External rotation:
This refers to rotating a limb outward along its axis, not raising the arm overhead.
C. Internal rotation:
This refers to rotating the limb inward, which is not the action of lifting the arm above the head.
D. Adduction:
Adduction refers to moving a limb toward the midline, the opposite of abduction.
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