In the application of a plaster cast, the most appropriate nursing intervention is to
a. allow excess casting material to dry on the skin before removal.
b. carefully cut the stockinette to the exact length of the cast.
c. gently support the extremity from underneath.
d. flush plaster-laden water down the toilet rather than the sink.
C
The nurse assisting during a cast application should support the extremity from underneath using only the palms of the hands to avoid applying pressure to any one area. The nurse should ensure he/she does not press fingertips into the cast or allow it to rest on a hard surface because this can lead to indentations in the cast that can ultimately cause pressure and injury to the client. The stockinette is cut several inches longer than the anticipated cast. As soon as the cast is applied, excess plaster needs to be removed from the client's skin. The water used to wet the plaster should be dumped down a sink with a plaster trap. If no such sink is available, the water should be allowed to sit until the plaster settles at the bottom of the bucket; then the water can be drained off the top and the plaster scooped out into a trash bag.
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The nurse has presented a community education class on recommended health screenings for women. Which statement about the Pap smear by a class member indicates that additional teaching is necessary?
1. "It is recommended for women 21 years of age and older." 2. "It diagnoses cervical cancer." 3. "Intercourse at a young age is a risk factor for an abnormal Pap smear." 4. "Detects abnormal cells."
A patient will begin taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The patient is currently taking high-dose NSAIDs and methotrexate. What will the nurse teach the patient?
a. That an eye exam is necessary at the beginning of therapy with this drug b. That the dose of NSAIDs may be decreased when beginning hydroxychloroquine c. To obtain tests of renal and hepatic function while taking this drug d. To stop taking methotrexate when starting hydroxychloroquine
A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?
a. Assessment b. Analysis c. Planning d. Implementation e. Evaluation
Which level of management is responsible for shift-by-shift coordination and promotion of quality client care?
1. Charge nurse 2. First level 3. Middle level 4. Upper level