The nurse is teaching a child with a cast about cast removal. What should the nurse teach the child about cast removal?
a. "The cast cutter will be a quiet machine."
b. "You will feel cold as the cast is removed."
c. "You will feel a tickly sensation as the cast is removed."
d. "The cast cutter cuts through the cast like a circular saw."
ANS: C
Cutting the cast to remove it or to relieve tightness is frequently a frightening experience for children. They fear the sound of the cast cutter and are terrified that their flesh, as well as the cast, will be cut. Because it works by vibration, a cast cutter cuts only the hard surface of the cast. The oscillating blade vibrates back and forth very rapidly and will not cut when placed lightly on the skin. Children have described it as producing a "tickly" sensation.
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