What should the nurse include in the discharge teaching for a patient with a newly applied cast?
Encouraging the patient to bear full weight on the cast immediately
Instructing the patient to elevate the casted limb above the heart
Advising the patient to use a heating pad on the cast to relieve discomfort
Educating the patient about signs of neurovascular compromise
The Correct Answer is D
: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.
a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.
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Related Questions
Correct Answer is C
Explanation
Using a lift sheet to reposition the patient is essential to prevent skin breakdown and pressure ulcers in a patient with long-term immobilization. This helps redistribute pressure on bony prominences and reduces the risk of skin damage.
a. Performing passive range of motion exercises regularly is important for preventing joint stiffness and muscle atrophy but may not directly prevent skin breakdown and pressure ulcers.
b. Applying petroleum jelly to the skin under the immobilization device is not recommended, as it can cause skin maceration and compromise the device's fit and function.
d. Providing a soft foam mattress overlay can enhance patient comfort but may not be sufficient to prevent skin breakdown and pressure ulcers in patients with prolonged immobilization.
Correct Answer is C
Explanation
In a greenstick fracture, the bone bends and partially breaks, usually occurring in children due to the flexibility of their bones.
a. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not bending.
b. Oblique fracture: An oblique fracture involves a diagonal break, not bending and partial breaking.
d. Avulsion fracture: An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, not bending and partial breaking.
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