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When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

palms only.

palms and flat parts of fingers.

fingertips and flat parts of fingers.

fingertips and palms.

Answer and Explanation

The Correct Answer is A

A. Palms only.

Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.

B. Palms and flat parts of fingers.

Using palms is safest; fingers can still create indentations if not careful.

C. Fingertips and flat parts of fingers.

Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.

D. Fingertips and palms.

Fingertips should be avoided entirely when handling a fresh cast.

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Correct Answer is B

Explanation

A. Left the patient with the lap robe tucked underneath.

A lap robe is used for warmth and comfort; tucking it under does not pose a risk.

B. Left the brakes of the wheelchair unlocked.

Wheelchair brakes must be locked during transfers to prevent the chair from moving and causing a fall.

C. Placed the patient's feet centered on the footrests.

Feet should be properly placed to avoid dragging or injury.

D. Placed slippers on the patient.

This is appropriate as long as the slippers are non-skid, providing safe footing during transfer.

A. cover the pin with several gauze pads and tape securely. B. assure the patient that such drainage is expected. C. notify the charge nurse of possible infection. D. wipe off drainage with a damp wash cloth.

Correct Answer is B

Explanation

A. Cover the pin with several gauze pads and tape securely:

This may trap moisture and increase infection risk. Pin sites need to be monitored and cleaned regularly.

B. Assure the patient that such drainage is expected:

Serous drainage is a normal finding after pin insertion. Reassurance is appropriate unless signs of infection are present.

C. Notify the charge nurse of possible infection:

This may be premature without signs of infection (e.g., purulent drainage, redness, fever).

D. Wipe off drainage with a damp wash cloth:

This is not a sterile technique and may introduce infection. Pin site care should follow sterile protocol.

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When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

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