ATI PN Adult Med Surg 2020 with NGN

ATI PN Adult Med Surg 2020 with NGN ( 101 Questions)

A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?



Correct Answer: B

The nurse should perform neurovascular checks of the  affected extremity every 2 hours to monitor for any signs of compartment  syndrome or impaired circulation. It is important to assess for the five Ps: pain,  pulse, pallor, paresthesia, and paralysis. Using a hair dryer to relieve itching can  cause burns and is not a recommended intervention. Positioning the fractured  arm below the level of the client's heart can increase swelling and exacerbate  pain. Immobilizing the client's fingers using a hand splint is not indicated unless  there is a finger fracture or injury.

Choice A (Use a hair dryer to blow hot air into the cast to relieve itching) is not an  answer because it can cause burns and is not a recommended intervention. 

Choice C (Position the fractured arm below the level of the client's heart) is not an  answer because it can increase swelling and exacerbate pain. 

Choice D (Immobilize the client's fingers using a hand splint) is not an answer  because it is not indicated unless there is a finger fracture or injury. 




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