The nurse is evaluating the effectiveness of instruction provided to a patient with a newly applied arm cast. Which statements indicate that additional teaching is required?
Select all that apply.
1. "I can wrap the cast in plastic wrap to protect it."
2. "I can use a blow dryer to make the cast dry faster."
3. "I will call the doctor if the arm starts to hurt more."
4. "I can use a sling to distribute the weight of the cast."
5. "I can use a coat hanger to scratch itchy skin under the cast."
Correct Answer: 2, 5
The cast dries from the inside out; a blow dryer should not be used to speed drying. Nothing should be inserted under the cast. A blow dryer on the cool setting can be used to relieve itching. The cast can be wrapped in plastic wrap to protect it. The healthcare provider should be notified if pain increases. A sling can be used to distribute the weight of an arm cast evenly around the neck.
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