A patient has a long-arm plaster cast applied for immobilization ...

[beccaep]

A patient has a long-arm plaster cast applied for immobilization of a fractured left radius. Until the cast has completely dried, the nurse should
 
  a. keep the left arm in dependent position.
  b. avoid handling the cast using fingertips.
  c. place gauze around the cast edge to pad any roughness.
  d. cover the cast with a small blanket to absorb the dampness.

Question 2

Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
 
  a. Avoid placing the patient in prone position.
  b. Ask the patient about abdominal discomfort.
  c. Discuss remaining on bed rest for several weeks.
  d. Use the cast support bar to reposition the patient.

[Swizqar]

Answer to Question 1

ANS: B
Until a plaster cast has dried, using the palms rather than the fingertips to handle the cast helps prevent creating protrusions inside the cast that could place pressure on the skin. The left arm should be elevated to prevent swelling. The edges of the cast may be petaled once the cast is dry, but padding the edges before that may cause the cast to be misshapen. The cast should not be covered until it is dry because heat builds up during drying.

Answer to Question 2

ANS: B
Assessment of bowel sounds, abdominal pain, and nausea and vomiting will detect the development of cast syndrome. To avoid breakage, the support bar should not be used for repositioning. After the cast dries, the patient can begin ambulating with the assistance of physical therapy personnel and may be turned to the prone position.

[beccaep]

Excellent

[mcarey591]

TYSM