Which does the nurse expect immediately after removal of the client's cast?
1. Skin looks smooth and supple.
2. Client has full weight-bearing.
3. Joints have full range of motion.
4. Skin looks dry, flaky, and intact.
4
4 and 1. Skin cells normally sloughed off with basic hygiene accumulate under a cast, giving the skin a flaky 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 skin's nor-mal appearance.
2 and 3. Because muscles atrophy and joints become stiff, clients generally do not have complete weight bearing ability or full range of motion after cast removal. De-pending on the nature of the injury, clients increase weight bearing over days or weeks until it returns to baseline function.
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Fill in the blank(s) with the appropriate word(s).