What is a critical aspect of patient education regarding cast maintenance?
Breaking off rough edges of the cast with scissors.
Checking for signs of skin irritation and redness.
Using lotion to moisturize the skin under the cast.
Using a heating pad to alleviate discomfort.
The Correct Answer is B
It is crucial for the patient to regularly check for signs of skin irritation and redness around the cast edges. Skin irritation and redness can indicate pressure points or infection, and early identification can prevent complications.
a. Breaking off rough edges of the cast with scissors can damage the cast and compromise its structural integrity. The patient should not alter the cast in any way.
c. Using lotion to moisturize the skin under the cast is not recommended, as it can lead to skin irritation and may compromise the cast's fit and function. The skin under the cast should be kept dry and clean.
d. Using a heating pad to alleviate discomfort is not recommended, as excessive heat can lead to skin irritation and may weaken the cast. The patient should use ice packs or follow the healthcare provider's instructions for pain management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Severe pain, pallor (pale skin color), and loss of pulses distal to the fracture are concerning signs of compartment syndrome, a serious complication that requires immediate medical intervention.
a. Bruising and discoloration at the fracture site: Bruising and discoloration are common signs of inflammation and injury at the fracture site but are not specific to compartment syndrome.
b. Mild pain and swelling in the affected limb: Mild pain and swelling are expected with a fracture but do not raise immediate concerns for compartment syndrome.
c. Prolonged capillary refill distal to the fracture: Prolonged capillary refill time may indicate reduced blood flow but is not as concerning as the combination of severe pain, pallor, and loss of pulses seen in compartment syndrome.
Correct Answer is B
Explanation
Compartment syndrome is a severe condition that results from increased pressure within a closed space (compartment) in the body, such as the muscle compartment near the fracture site. It can lead to decreased blood flow, nerve compression, and tissue damage.
a. Infection: Infection is a complication of fractures caused by the introduction of bacteria into the body, and it does not involve increased pressure within a closed space.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal and is not related to increased pressure within a closed space.
d. Osteomyelitis: Osteomyelitis is a bone infection that can occur as a complication of fractures and is not specifically related to increased pressure within a closed space.
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