The nurse is preparing to help with removal of a long arm plaster cast. What information should the nurse include in patient preparation for plaster cast removal?

a. "Stretch your arm and wrist as soon as the cast is removed.".
b. "I'll get a nail brush to help remove dead cells from your skin.".
c. "This is the enzyme wash we'll use to remove dead skin cells.".
d. "The cast saw causes a little discomfort and a burning sensation.".


C
The nurse instructs the patient to use a cool enzyme wash to facilitate dead cell removal as long as the skin is intact because the skin under a cast becomes dry and flaky. The patient is advised to resume full range of motion gradually to prevent discomfort and patient injury. A nail brush is too rough to use on scaly, dry skin and could cause discomfort. The saw causes no discomfort, although a burning sensation can occur with the removal of a synthetic cast.

Nursing

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