Which of the following teaching points is the priority when the ...

[TVarnum]

Which of the following teaching points is the priority when the nurse is teaching the client about caring for a plaster cast?
 
  1. The cast gives off heat as it dries.
  2. The client can bear weight on the cast in 1 hour.
  3. A stockinette and soft padding are put over the leg area before casting.
  4. Immediately report any increase in drainage or interruption in cast integrity.

Question 2

The nursing instructor is reviewing the plan of care with a student regarding care of a postpartum client. The instructor asks the nursing student about the taking-in phase according to Rubin's phases of regeneration.
 
  The student is asked about client behaviors that are most likely to occur during this phase. Which of the following responses, made by the student, indicates an under-standing of this phase? 1. The client would be independent.
  2. The client initiates activities on her own.
  3. The client participates in mothering tasks.
  4. The client is self-focused and talks to others about labor.

[potomatos]

Answer to Question 1

4

Rationale: Increases in drainage or interruption in cast integrity will affect healing and could lead to osteomyelitis. To apply a cast, the skin is washed and dried well. A stockinette is placed smoothly and evenly over the area to be casted, followed by a roll of padding. The plaster is then rolled onto the padding, and the edges are trimmed or smoothed if needed. A plaster cast gives off heat as it dries. A plaster cast can tolerate weight-bearing once it is dry, which varies from 24 to 72 hours, depending on the nature and thickness of the cast.

Answer to Question 2

4

Rationale: Rubin has identified three phases of regeneration during the postpartum period. The taking-in phase occurs in the first 3 days postpartum, and the taking-hold phase occurs between days 3 to 10. During the taking-in phase, the new client is attempting to integrate her labor and birth experience. She tends to need sleep and feels fatigued, talks about labor, and is self-focused and dependent. In the taking-hold phase, the client is more active, independent, initiates activi-ties, and partakes in mothering tasks. In the letting-go phase, the mother may grieve over the separation of the baby from part of her body.

[TVarnum]

Both answers were spot on, thank you once again

[potomatos]

Great! Please up vote