What should the nurse include in the patient education about cast drying?
Cover the cast with plastic when bathing.
Apply heat directly to the cast to speed up drying.
Use cotton swabs to clean the skin under the cast.
Keep the cast exposed to air for long periods.
The Correct Answer is A
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A greenstick fracture involves the bone bending and partially breaking, with one side of the bone being broken and the other side bent.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not involving bending.
c. Oblique fracture: An oblique fracture involves a diagonal break, not breaking on one side and bending on the other.
d. Stress fracture: A stress fracture occurs due to repetitive stress on the bone, not involving one side breaking and the other side bending.
Correct Answer is D
Explanation
: 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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