A client who had a wrist cast applied 3 days ago for a fractured wrist calls from home, reporting that the cast is loose enough to slide off. What should be the nurse's response?

A. "Keeping your arm above the level of your heart will help keep the cast in the correct position."
B. "As your muscles atrophy and get smaller, the cast is expected to loosen."
C. "Wrap an elastic bandage around the cast to prevent it from slipping."
D. "Your cast needs to be reapplied now that the wrist swelling is down."


D
Many times, especially with a wrist fracture, the surrounding soft tissues may be swollen consi-derably when the cast is initially applied. After the swelling has resolved, if the cast is loose enough to permit two or more fingers between the cast and the client's skin, the cast needs to be replaced.

Nursing

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