The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.
hydrotherapy
petal
bivalve
splint
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dry and dirty
Skin under a cast is typically dry, flaky, and appears dirty due to the accumulation of dead skin cells and lack of exposure to air and water.
B. Moist and pink
Moist and pink skin suggests healthy, well-hydrated tissue, which is not typical after cast removal.
C. Moist and white
Moist and white skin may indicate maceration, which can occur under wet dressings, not a dry cast.
D. Dry and greenish
Green discoloration is not a normal finding and may suggest infection, which is not expected under a dry cast unless there were complications.
Correct Answer is B
Explanation
A. Use metal clips to secure the wrap:
While metal clips are commonly provided with elastic bandages, they can easily become dislodged and may cause injury. Tape or self-adhesive wraps are often safer and more secure.
B. Adjust the pressure or tension as needed:
This allows for proper circulation and comfort. Bandages should be snug but not tight, and pressure may need to be adjusted for swelling or anatomical differences.
C. Overlap turns of the bandage equally:
This is a correct technique but not the most critical factor for effectiveness and safety. Equal overlapping helps provide uniform pressure, but adjusting tension as needed is more essential.
D. Face the patient and wrap from proximal to distal:
Wrapping should always go from distal to proximal to promote venous return and reduce edema. Wrapping proximal to distal is incorrect and can impair circulation.
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