Author Question: Following the application of a cast to a patient's right lower leg, the nurse is monitoring for ... (Read 54 times)

nramada · **on:** Jun 25, 2018

Following the application of a cast to a patient's right lower leg, the nurse is monitoring for complications. Which assessment data leads the nurse to be concerned about a serious complication?

1. The toes on the right foot are pink and warm, and sensation is intact.
2. The patient complains of numbness in the right foot and toes.
3. The patient reports itching under the cast.
4. The patient complains of general discomfort in the lower-right leg.

Question 2

The nurse is teaching older adults about lowering the risk for musculoskeletal trauma. Which strategy should the nurse include?

1. Avoid falls at home by not using throw rugs.
2. Avoid injury in motor vehicle accidents by not driving.
3. Avoid fire by not cooking in the kitchen when alone.
4. Avoid injury by not using assistive devices at home.

smrerig · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Numbness should be reported right away. It may indicate pressure on nerves or blood vessels related to a tight cast, which can lead to compartment syndrome. The exposed extremities should be pink and warm, with sensation. Itching and generalized discomfort are anticipated for the patient who recently had a cast applied.

Answer to Question 2

Correct Answer: 1

The nurse should teach ways to make the home safe, including the elimination of throw rugs. Advising adults to avoid cooking and driving is not realistic. Assistive devices are intended to promote independence and should be used by patients who need them.