Author Question: The nurse working in the emergency department (ED) is assisting the health care provider with cast ... (Read 31 times)

sjones · **on:** Jun 25, 2018

The nurse working in the emergency department (ED) is assisting the health care provider with cast application. Which nursing action is the most appropriate after the health care provider completes application of the cast?

1. Holding the casted arm from the top of the cast to place it in a splint
2. Holding the casted arm from the top of the cast to place it on pillows
3. Using the palm of the hand to place the casted arm into a splint
4. Using the palm of the hand to place the casted arm on pillows

Question 2

The nurse admits a client from the emergency department (ED) with a newly placed leg cast. Which actions would the nurse perform to prevent neurovascular impairment? Select all that apply.

1. Assess the toes for nerve and circulatory impairment every hour for 8 hours.
2. Place the leg on pillows.
3. Apply ice to the site.
4. Elevate the foot of the bed.
5. Report excessive swelling or indications of neurovascular impairment.

meltdown117 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

The newly placed cast should be held only in the palm of the hand to avoid pushing finger ridges into the easily malformed cast. Placing the cast on pillows applies equal pressure that will avoid flattening of the cast on the bottom. Only after the cast has dried can a splint be applied, if necessary.

Answer to Question 2

Correct Answer: 2,3,4,5

The toes should be assessed every 30 minutes for 4 hours and then every 3 hours for the first 24-48 hours, when edema is likely to subside somewhat. The remaining actions are correct.