The nurse is teaching the parent of a 4-year-old child with a cast on the arm about care at home. What statement by the parent indicates a correct understanding of the teaching?
a. "I should have the affected limb hang in a dependent position."
b. "I will use an ice pack to relieve the itching."
c. "I should avoid keeping the injured arm elevated."
d. "I will expect the fingers to be swollen for the next 3 days."
ANS: B
Teaching the parent to use an ice pack to relieve the itching is an important aspect when planning discharge for a child with a cast. The affected limb should not be allowed to hang in a dependent position for more than 30 minutes. The affected arm should be kept elevated as much as possible. If there is swelling or redness of the fingers, the parent should notify the health care provider.
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