Which does the nurse include in client teaching about care of a plaster cast?
1. Report changes in sensation or mobility.
2. Use a warm blow dryer to dry a wet cast.
3. Use soft objects to scratch inside the cast.
4. Trim the cast if the skin becomes irritated.
1
1. The nurse instructs the client to report changes in sensation or inability to move the affected tissues because these clinical indicators are consistent with neurovascular impairment usually resulting from a compressed or irritated nerve. This potentially results from excessive intracast pressure from bleeding, edema, or compartment syn-drome.
2. The client can facilitate cast drying by using a standard, household fan positioned 18 inches or more from the cast.
3. The nurse instructs the client to place nothing inside the cast to prevent impaired skin integrity.
4. The nurse instructs the client to protect the cast integrity. If skin becomes irritated, the nurse instructs the client to contact the provider.
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