The nurse is caring for a client who has a fiberglass long leg cast on the right leg. Which nursing actions should be implemented in the cast care of this
... [Show More] client? SATA
a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan. - correct answera) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan.
Rationale
Cast care should include ensuring the cast is not too tight, by placing a finger between the client's skin and cast; by protecting the cast from being soiled by placing a protective plastic covering in the perineal area before the client uses a bedpan; by smelling for a foul odor coming from the cast; by palpating for hot spots on the cast every shift; and by performing neurovascular checks distal to the cast every four hours. Nothing should be placed in the cast to facilitate scratching beneath the cast.
The nurse is caring for an older client being treated for a cardiac condition who has developed "dry eyes". Which medication may be contributing to this condition?
a) Procainamide (Procanbid).
b) Iron supplements.
c) Atenolol (Tenormin).
d) Lipitor (Atorvastatin). - correct answerc) Atenolol (Tenormin).
Rationale
Dry eyes is an annoying side effect of some medications that can cause a client to feel like they have something in their eye or a continuous scratchy sensation. This condition can cause eye strain and discomfort to a client. Clients prescribed Atenolol for hypertension are at risk of developing dry eyes as a side effect of the medication. [Show Less]