A nurse needs to bathe and clean the fractured arm of a client ...

[james9437]

A nurse needs to bathe and clean the fractured arm of a client with a bivalved cast. Which of the following actions is most suitable when removing a bivalved cast?
 
  A) Remove both halves of the cast sequentially.
  B) Remove one half of the shell.
  C) Obtain a sharply defined x-ray of the arm.
  D) Assess the fingers for blood circulation.

Question 2

A nurse has attended an inservice workshop that addressed the phenomenon of ageism in the health care system. Which of the following practices is indicative of ageism?
 
  A) Implementing falls prevention measures in a setting where older adults receive care
  B) Providing slightly smaller servings of food for clients who are elderly
  C) Speaking to older adults with the presumption that they have mild cognitive deficits
  D) Assessing the skin turgor of an older adult differently than that of a younger adult

[honnalora]

Answer to Question 1

B
Feedback:
The most important action when removing a bivalved cast is to remove half of the shell temporarily for hygiene and assist the client to a prone position when removing the posterior half of the cast, if approved by the physician. Removing both the casts simultaneously can lead to further injury. A sharp x-ray is obtained when the bivalved cast is creatednot when it is removed temporarily. To assess the client's fingers for blood circulation is not necessary when removing a cast.

Answer to Question 2

C
Feedback:
Accommodation of normal, age-related changes such as decreased skin turgor and slightly decreased nutritional needs is not an indication of ageism. Similarly, safety measures are unlikely to be motivated by ageist beliefs. Assuming that all older adults have cognitively deficits, however, is an indication of ageism.

[james9437]

Thank you!

[honnalora]

Always glad to help...