An appropriate technique for the nurse to implement for the client 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
D. Assist with "finishing" by folding stockinette or other padding down over outer edge of cast to provide smooth edge. Smooth edges lessen possible skin irritation. By finishing cast with stockinette, later "petaling" with tape is not required when cast is dry.
A. Elevation and ice can be ordered, but ice would not be applied to top of wet cast because the weight could change the shape of the cast and cause indentations that can lead to pressure areas.
B. Maintain elevation at or above heart level; elevation enhances venous return and decreases edema.
C. Handle casted extremity with palms only until the cast is dry. Fingers can cause indentations that can lead to pressure areas.
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