The nurse provides teaching for the family of a 5-year-old client who has a one-and-a-half hip spica cast. Which does the nurse include in client teaching?
1. Client can sit in a chair with a dry cast.
2. Casts dry from the outside to the inside.
3. Two people safely turn and move client.
4. Turn and position client with support bar.
3
3. The nurse instructs the client's family to turn the client by using two people to prevent client injury and to maintain cast integrity because the combined weight of the client and cast material can make the client too awkward and heavy for one per-son to handle safely.
1. Clients are unable to sit in a hip spica cast because the hip and legs are casted in straight alignment.
2. Casts dry from the inside to the outside.
4. The nurse instructs the family to avoid using the support bar for turning because the bar is designed to maintain leg abduction. Turning or positioning with the bar in-creases the risk of damaging the cast's integrity and client injury.
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