Which interventions should the nurse include in the home care instructions for the parents of a child who has a cast applied to the left forearm? Select all that apply
a. Keep small toys away from the cast.
b. Use a padded ruler to scratch the skin under the cast if it itches.
c. Daily assess the cast for unusual odors.
d. Elevate the extremity on pillows for the first 24 to 48 hours.
e. Numbness and tingling in the extremity is expected.
A, C, D
Small toys should be kept away from the cast as they can become lodged inside the cast. The cast should be inspected daily for any unusual odors, which can indicate infection. The extremity should be elevated for the first 24 to 48 hours to decrease edema. Nothing should be placed inside the cast. If numbness or tingling is experienced the physician should be notified.
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