NCLEX-RN · Question #526
A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:
The correct answer is A. Prevention of neurovascular complications. (A) Because the extremity may continue to swell and the cast could constrict circulation, the nurse should elevate the limb and observe for capillary refill, warmth, mobility of toes and (B) Although muscle tone may diminish over time in the affected limb, this is not the…
Question
A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:
Options
- APrevention of neurovascular complications
- BPrevention of loss of muscle tone
- CImmobilization of the affected limb
- DUsing heated fans to dry the cast
How the community answered
(45 responses)- A80% (36)
- B11% (5)
- C7% (3)
- D2% (1)
Explanation
(A) Because the extremity may continue to swell and the cast could constrict circulation, the nurse should elevate the limb and observe for capillary refill, warmth, mobility of toes and (B) Although muscle tone may diminish over time in the affected limb, this is not the immediate (C) The limb has been immobilized already by the cast, and therefore immobilization is not a (D) Heated fans and dryers are discouraged because the outside cast will dry quickly, yet the area beneath the cast remains wet and could cause burns.
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