For which client should the nurse anticipate a plaster cast would be used?
1. The client with a diagnosis of amyotrophic lateral sclerosis (ALS)
2. The client who had a compound fracture and multiple lacerations
3. The older adult client with muscle wasting secondary to cancer
4. The client with a fractured femur who plans to return to construction work before cast removal
2
Rationale 1: The client with ALS would benefit from the lighter weight of the synthetic casts.
Rationale 2: Plaster casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple lacerations.
Rationale 3: The client with muscle wasting would benefit from the lighter weight of the synthetic casts.
Rationale 4: The construction worker who plans to return to work would benefit from the synthetic cast's ability to tolerate moisture.
Global Rationale: Plaster casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple lacerations. The client with ALS or muscle wasting would benefit from the lighter weight of the synthetic casts, and the construction worker who plans to return to work would benefit from the synthetic cast's ability to tolerate moisture.
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