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Please: to anyone with the answer
a 58 y/o female pt. was in an auto accidentm transported by ems for open reduction c internal fixation of a fx of the r tibula and fibula and tansferring from pacu to thr orthopedic unit c a cast extending from above the knee to below the ankle. attention must be taken to avoid this inappropiate nursing action during th first 24 to 48 hours. should i: (a) handle the cast c the plams of the hand or (b) place the casted extremity in normal alignment, or © elevate the entire extremity, or (d) place rubber-covered pillows under the cast.
Thanx
Linda Carlin
the inappropriate nsg action would be b: place the casted extremity in normal alignment.a- we're supposed to handle with palms of hands
c- we're supposed to elevate extremity
d- we're supposed to place pillows under cast.
the "rubber-covered" pillows, is a distractor.
so your answer would be b.
leslie
????
no, we are not suppose to handle cast with palms of hand. i'm some what of a recent graduate leslie and i remember this type of question showing up on exams. a nurse is not to handle a cast with the palms of her hand. i work in ortho and we elevate along with align the extremity.
I guess I got the wrong idea about this allnurses.com deal. I the type of person that like to check, recheck, and double check, that is what I have been taught to do all of my nursing education and experience, and other nurse and doctors, that I have been accquainted with throughout my 17 years experience. Your instructors will aslo tell you when we teach others, we ourselfs are also learning....................................Linda Carlin
I understand what your saying. I'll be glad to help you if you need help, but do make sure you tell us what you think the answer is along with the reason you think it's this answer by checking in your text. But please feel free to ask anytime, okay?
Sorry about some of the responses you got here, you appear to be a mature person and not just some random teenager wanting their homework done for them. So many come here wanting their homework done for them. You just asked a harmless question, so I'm sorry you got the response you did.
Take care and Merry Christmas to you too dear.
????no, we are not suppose to handle cast with palms of hand. i'm some what of a recent graduate leslie and i remember this type of question showing up on exams. a nurse is not to handle a cast with the palms of her hand. i work in ortho and we elevate along with align the extremity.
http://www.enotes.com/nursing-encyclopedia/cast-care
http://www.fixbones.com/html/ownersmanual.htm#3
http://nursing.ucsfmedicalcenter.org/education/pcaselfstudymodules/66.pdf
leslie
Okay thanks Leslie. I stand corrected. I had it opposite, they're not suppose to be touched with fingertips to avoid indentations. Even though I work on ortho, I hardly ever see anyone in casts, there always just wrapped up in ace wraps/splints or ext fixators.
See Linda, your post was very helpful!!
RedhairedNurse, BSN, RN
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