The nurse is evaluating a patient's understanding of cast care before discharge. Which statement by the patient indicates the need for further teaching?

“I will keep my cast dry and avoid inserting objects inside to scratch my skin."

"If I notice increased swelling, numbness, or severe pain, I will elevate my leg and notify my provider immediately."

"It's okay to use a blow dryer on a cool setting to help dry my cast if it gets wet."

“I should expect to feel extreme pain under the cast that doesn't improve with pain medication."

Answer and Explanation

The Correct Answer is D

A. “I will keep my cast dry and avoid inserting objects inside to scratch my skin.” Keeping the cast dry prevents it from softening or breaking down, which could lead to improper healing. Avoiding objects inside the cast prevents skin injuries and infections.

B. "If I notice increased swelling, numbness, or severe pain, I will elevate my leg and notify my provider immediately." Increased swelling, numbness, and severe pain can indicate compartment syndrome or impaired circulation. Elevating the leg and seeking medical attention is appropriate.

C. "It's okay to use a blow dryer on a cool setting to help dry my cast if it gets wet." A blow dryer on a cool setting can be used to help dry moisture inside the cast without causing burns or affecting the cast material.

D. “I should expect to feel extreme pain under the cast that doesn't improve with pain medication.” Extreme pain that is unrelieved by medication is abnormal and may indicate complications like compartment syndrome, infection, or pressure ulcers under the cast. The patient needs further education that severe pain should be reported immediately.

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Correct Answer is B

Explanation

A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.

B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.

C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.

D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.

A. This procedure determines the extent of joint damage." B. This procedure will fuse my joint to reduce my pain." C. This procedure will replace my joint to improve function." D. This procedure will prevent further joint damage."

Correct Answer is C

Explanation

A. "This procedure determines the extent of joint damage." This describes diagnostic procedures like arthroscopy, not arthroplasty.

B. "This procedure will fuse my joint to reduce my pain." This describes joint fusion (arthrodesis), not joint replacement (arthroplasty).

C. "This procedure will replace my joint to improve function." Arthroplasty involves joint replacement to improve mobility and function.

D. "This procedure will prevent further joint damage.": Arthroplasty does not prevent further joint damage but replaces the joint.

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The nurse is evaluating a patient's understanding of cast care before discharge. Which statement by the patient indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

Correct Answer is B

Explanation

A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is explaining the pathophysiology of pneumonia to a group of nursing students. Which statement by one of the students indicates a correct understanding of the condition?

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