The nurse is assigned to care for a child who is scheduled to have a plaster cast applied after reduction of a fracture of the radius. The nurse will prepare the child for cast application by explaining that:
a. "You will immediately begin to itch a lot, but don't scratch."
b. "The cast will be warm, and it will take a day or two to dry completely."
c. "The physician will be using a lot of strange tools to apply the cast."
d. "There is no need to be afraid."
B
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A Incorrect. Itching may occur but not immediately.
B Correct. The nurse will prepare the child for cast application by explaining that the cast will be warm, and it will take a day or two to dry completely. A chemical reaction between the casting material and the water will cause a feeling of warmth.
C Incorrect. The physician does not use a lot of strange tools to apply the cast. The only equipment needed includes a tubular gauze (stockinette), cotton padding material, and water.
D Incorrect. This is not an appropriate statement because the child probably is afraid, simply because of fear of the unknown.
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