The client has just returned from having a cast placed on the right forearm and is found putting a lead pencil in the cast to "reach the itch." What is the nurse's priority action?

Question

Quizplus · Accepted Answer

To relieve itching underneath a casted area, clients should use the cool setting of a hair dryer to direct air under the cast. Clients should never place any object, lotions, or powders in or around the casted area as skin irritation, injury, or infection may occur. Signs and symptoms of infection (eg, sores, purulent drainage, foul odors) and persistent itching should be reported to the health care provider. (Options A and C) Nothing should be placed inside a cast due to the risk for injury and infection. (Option B) The skin of the casted extremity should be assessed as the client could have damaged it by inserting a pointed object. Regular neurovascular checks should be performed on a client with a new cast as the client is at risk for compartment syndrome. However, there is no indication of peripheral vascular impairment (eg, changes in extremity color, temperature, or pulse) or peripheral neurologic impairment (eg, loss of sensory or motor function) of the casted extremity; therefore, this is not the priority at this time. Educational objective: The client should be taught that nothing should be placed in a cast. Attempting to reach an itch with any instrument (eg, pencil, coat hanger) or applying powder or lotion may cause skin breakdown and infection. Cool air from a hair dryer may alleviate the itch.

The Client Has Just Returned from Having a Cast Placed