The nurse assists with changing the client's cast 3 days after an open reduction and internal fixation. Which should the nurse implement?
1. Cover cast to keep the surface clean while it dries.
2. Saturate the cast padding in water before applying.
3. Suspend a wet cast from straps on an overbed frame.
4. Perform sterile dressing change for surgical incision.
4
4. Casts applied in surgery are usually changed a few days postoperatively to avoid discharging the client with a bloody cast and to assess the incision and extremity be-fore discharge. The nurse protects the incision with a dressing and uses sterile tech-nique to avoid contaminating the surgical incision. In addition, because the cast cov-ers the incision, it seals microorganisms inside the cast within close proximity to the wound to increase the risk of infection.
1. Casts remain exposed to room air for 24 hours for drying.
2. The nurse applies cast padding dry to facilitate cast drying.
3. The nurse handles a wet cast with broad surfaces such as the palms of the hands to prevent indentation and distortion of the cast.
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