The nurse caring for a client with a plaster cast applied several days ago notes crumbs of plaster on the skin just under the edge of the cast. Which action by the nurse is the most appropriate?
1. Leaving the crumbs there to avoid injuring the skin
2. Using a surgical scrub brush to remove the crumbs
3. Using a dry cloth to remove the crumbs to avoid wetting the cast
4. Pull inner stockinette out and over the edge and secure with tape
4
Rationale 1: Leaving the crumbs there could cause skin injury or could get under the cast and cause irritation.
Rationale 2: A surgical brush could scratch the client.
Rationale 3: Use of a dry cloth would not be effective.
Rationale 4: If cast edges are rough or crumbly, pull inner stockinette out and over the edge and secure with tape.
Global Rationale: If cast edges are rough or crumbly, pull inner stockinette out and over the edge and secure with tape. Leaving the crumbs there could cause skin injury or could get under the cast and cause irritation. A surgical brush could scratch the client. Use of a dry cloth would not be effective.
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