The nurse working in the emergency department (ED) is assisting the health care provider with cast application. Which nursing action is the most appropriate after the health care provider completes application of the cast?
1. Holding the casted arm from the top of the cast to place it in a splint
2. Holding the casted arm from the top of the cast to place it on pillows
3. Using the palm of the hand to place the casted arm into a splint
4. Using the palm of the hand to place the casted arm on pillows
4
Rationale 1: Only after the cast has dried can a splint be applied, if necessary.
Rationale 2: The cast should not be held from the top.
Rationale 3: Only after the cast has dried can a splint be applied, if necessary.
Rationale 4: Placing the cast on pillows applies equal pressure that will avoid flattening of the cast on the bottom.
Global Rationale: The newly placed cast should be held only in the palm of the hand to avoid pushing finger ridges into the easily malformed cast. Placing the cast on pillows applies equal pressure that will avoid flattening of the cast on the bottom. Only after the cast has dried can a splint be applied, if necessary.
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