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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. hydrotherapy
Hydrotherapy involves water treatment, not related to smoothing cast edges.
B. petal
Petaling is the technique of applying smooth strips of tape (usually in a petal shape) over rough edges to prevent skin irritation.
C. bivalve
Bivalving is when a cast is cut into two halves, typically to relieve pressure—not to smooth edges.
D. splint
A splint is a temporary immobilizing device, not related to the care of cast edges.
Correct Answer is B
Explanation
A. Warm feet and hands.
Warmth suggests good blood flow and is a normal finding.
B. Numbness of distal limb.
Numbness is a sign of neurovascular compromise, possibly from swelling or impaired circulation due to the cast.
C. Palpable peripheral pulses.
Pulses are a positive finding indicating adequate perfusion.
D. Capillary refill of 3 seconds.
Capillary refill less than or equal to 3 seconds is considered normal.
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