T.M.'s condition continues to improve, and you provide discharge education. T.M.'s mother asks how she
will care for his cast when he gets home. you discuss with her the care of a synthetic spica cast.
Which of these statements by T.M.'s mother would indicate that further education is needed?
Select all that apply.
a. "I need to check the toes on his feet several times a day for the first week or so to see if
they are warm and he is able to wiggle them."
b. "I need to keep his feet elevated when I get him home."
c. "It is okay if I give him a tub bath. Because it is a synthetic cast, I can dry it with a blow
dryer."
d. "Because T. uses pull-up diapers, I will need to use plastic tape to protect the cast
opening."
e. "If he has an itch, it is okay to use a knitting needle to scratch under the cast."
e, c
Elevating and checking neurovascular status is appropriate. If the child is incontinent and uses
diapers, the opening of the cast will need to be protected. Waterproof, synthetic casts are not to
be immersed or heated with a blow dryer. If soiled, they can be wiped with mild soap and water. If
itching occurs, items should never be placed down the cast. Application of an ice pack or medication
can be administered per medical orders.
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