A child has had a short-arm synthetic cast applied. What should the nurse teach to the child and parents about cast care? (Select all that apply.)
a. Relieve itching with heat.
b. Elevate the arm when resting.
c. Observe the fingers for any evidence of discoloration.
d. Do not allow the child to put anything inside the cast.
e. Examine the skin at the cast edges for any breakdown.
ANS: B, C, D, E
Cast care involves elevating the arm, observing the fingers for evidence of discoloration, not allowing the child to put anything inside the cast, and examining the skin at the edges of the cast for any breakdown. Ice, not heat, should be applied to relieve itching.
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