Exam 17: Traction, cast Care, and Immobilization Devices

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?

The nurse provides teaching for the family of a 5-year-old patient who has a one-and-a-half hip spica cast.Which of the following recommendations should the nurse include in patient teaching?

A 5-year-old child comes to the healthcare provider for cast removal.Which of the following should the nurse implement to minimize the child's fears of the cast saw?

The patient tells the nurse that the top of the plaster cast feels rough and is scratching the skin.Which intervention should the nurse implement?

The nurse is assisting with the application of a long arm plaster cast.Which action should the nurse take for this patient?

The nurse is caring for a patient who is in skeletal traction for a femoral fracture and notes that patient assessment data include dyspnea,hypoxia,petechial rash on chest,and hypotension.Which should the nurse implement?

A patient with Buck's traction complains of increased pain after the traction is applied and pain medication is given.After loosening the traction slightly,the nurse assesses the extremity and can find nothing wrong,although the patient is still complaining of pain at a level of 4 on a scale of 0 to 10.What action should the nurse initiate next?

During the removal of a synthetic cast to the lower leg,the patient complains of heat inside the cast.Which response by the nurse is most appropriate to the patient?

The nurse is preparing for the initial placement of an orthotic device onto the patient's lower leg.Which of the following is the priority nursing intervention?

A patient complains of a slight tingling in the toes of the affected leg 2 hours after the application of Buck's traction with a foam boot with Velcro straps.Which nursing intervention will prevent potential complications related to the patient complaint?

The nurse is assisting an adolescent female with a Milwaukee back brace for treatment of scoliosis.Nursing care is correct if the nurse takes which action?

The patient is complaining of increasing pain several hours after a cast was applied for a severe lower leg injury.What actions should the nurse implement after giving additional pain medication with no relief?

The nurse provides discharge patient teaching for a patient with an external skeletal fixation device on a leg fracture.What does the nurse include in patient teaching?

The nurse prepares to place the patient in skin traction.Which is the nurse's main concern before applying the skin traction?

The nurse is preparing a patient for discharge after application of a plaster cast.What information does the nurse include in the patient teaching?

The patient is in Buck's traction for a fractured femur.What should the nurse do to minimize any muscle spasms of the affected leg?

1. The first sign that a neurovascular deficit is developing in a patient who is immobilized in a traction device after a fracture is ___________on passive range of motion.

The nurse completes patient teaching about synthetic cast care at home.What does the nurse instruct the patient to report about the cast?

The nurse assesses the traction boot for a proper fit.Which observation by the nurse verifies that the patient has a properly fitting Buck's traction boot?

2. The nurse is performing pin site care using evidence-based guidelines.Those guidelines recommend using __________ solution to clean the pin sites.