Author Question: A nurse is caring for a postoperative Asian American client after arthroplasty. The nurse plans to ... (Read 37 times)

bobypop · **on:** Jul 22, 2018

A nurse is caring for a postoperative Asian American client after arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness.

What would be the most appropriate nursing action? A) Let the client ambulate slowly on his own when he is stable.
B) Explain the purpose and need for assistance during ambulation.
C) Instruct family members to ambulate the client.
D) Ambulate the client without answering his questions.

Question 2

A nurse is collaborating with a cast technician in applying a fiberglass cast to a client. Which of the following is a feature of a fiberglass cast as compared to a plaster of Paris (POP) cast?

A) Inexpensive
B) Easy to apply
C) Durable
D) Non-porous

xiaomengxian · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
The nurse should explain the purpose of ambulation, and the need for assistance while ambulating, to the client. This would relieve his anxiety associated with physical closeness. However, the client will not be able to ambulate without assistance. Even though the nurse can instruct a family member to ambulate the client, this is not an appropriate action. Ambulating the client without answering the client's question is nontherapeutic, as the nurse would be performing a procedure without giving adequate explanation.

Answer to Question 2

C
Feedback:
A fiberglass cast is durable, lightweight, porous, allows immediate weight bearing, and is unaffected by water. It is expensive compared to a POP cast, which is inexpensive. A POP cast is easy to apply but heavy and is prone to cracking and crumbling. Although fiberglass is porous, it is not recommended for severe injuries or those accompanied by excessive swelling.