An appropriate technique for the nurse to implement for the patient who is being casted is to:
a. apply ice to the top of the cast.
b. maintain the extremity below heart level.
c. handle the wet cast with the fingertips.
d. fold the stockinette or padding over the outer cast edges.
D
Assist with "finishing" by folding the stockinette or other padding down over the outer edge of the cast to provide a smooth edge. Smooth edges lessen possible skin irritation. When the cast is finished with a stockinette, later "petaling" with tape is not required when the cast is dry. Elevation and ice can be ordered, but ice would not be applied to the top of the wet cast because the weight could change the shape of the cast, causing indentations that can lead to pressure areas. Maintain elevation at or above heart level; elevation enhances venous return and decreases edema. Handle the casted extremity with palms only until the cast is dry. Fingers can cause indentations that can lead to pressure areas.
You might also like to view...
The nurse educator believes the best method for teaching professionalism is for faculty to conduct themselves in a professional manner. Which learning theory supports this belief?
1. Skinner's operant conditioning theory 2. Bandura's social-learning theory 3. Lewin's field theory 4. Piaget's phases of cognitive development
The highest hospitalization and death rates for patients suffering a TBI is in what population?
A) Infants and toddlers because of shaken baby syndrome B) Adolescents aged 12 to 19 C) Young adults aged 20 to 29 D) Adults 75 years of age or older
A threat to internal validity of a study using a two-group pretest-posttest design is that:
a. external events are extremely likely to affect the outcome of these studies. b. people are more likely to drop out of this type of study. c. the pretest may sensitize subjects so they change their behavior or responses on the posttest. d. there is no way to determine if the groups are alike before starting the study.
The nurse is preparing to give an injection of vitamin K to a newborn. Which considerations would be appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Administer a dose of 0.5 to 1 mg within 1 hour of birth. 2. Administer the injection subcutaneously. 3. Use a 25-gauge, 5/8-inch needle for the injection. 4. Protect the medication bottle from light. 5. Give vitamin K prior to a circumcision procedure.