The nurse is reinforcing instructions to the mother of a child who has a plaster cast applied to the left arm. Which of the following statements, if made by the mother, indicates a need for further education?
1. "I should use a heat lamp to help the cast dry."
2. "I should cover the cast with plastic when the child bathes or showers."
3. "I should call the physician if the cast feels warm or hot or has an unusual smell or odor."
4. "I should keep small toys and sharp objects away from the cast and be sure that my child does not put anything inside the cast."
1
Rationale: The mother needs to be instructed not to use a heat lamp to help the cast dry because of the risk associated with a burn injury from the heat lamp. "I should cover the cast with plastic when the child bathes or showers." "I should call the physician if the cast feels warm or hot or has an unusual smell or odor." and "I should keep small toys and sharp objects away from the cast and be sure that my child does not put anything inside the cast." are appropriate instructions.
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