The patient asks what to expect immediately after removal of a long leg cast. What is the most accurate response by the nurse?
a. "The skin will look smooth and moist.".
b. "You will be able to stand on both legs easily.".
c. "Your joints will have full range of mo-tion.".
d. "The skin will be dry and scaly but intact.".
D
Skin cells normally sloughed off with basic hygiene accumulate under a cast, giving the skin a scaly appearance on cast removal; the accumulating cells cause the area to itch while the cast is in place. Bathing, gentle exfoliation, and moisturizing lotion remove dead cells within a few days of cast removal to restore the normal appearance of the skin. Because muscles atrophy with lack of use, patients generally do not have complete weight-bearing ability or full range of motion after cast removal. Depending on the nature of the injury, patients increase weight bearing over days or weeks until it returns to baseline function. The joints will be stiff from immobilization as a result of casting.
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