For cast removal,the nurse correctly instructs the client that:

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If skin is intact,gently apply cold water enzyme wash to skin; let stay on skin 15 to 20 minutes.Helps dissolve or emulsify dead cells and fatty deposits on tissues.Prevents injury to delicate tissue.
Cast saw vibrates cast loose; client will feel heat and vibration.Do not scrub skin because this may traumatize delicate tissue and lead to skin breakdown.It may take several days before all residue is removed from skin.Obtain physician's order to gently put joints through active and passive ROJM.Clarify level of activity allowed.Joints and muscles will be stiff and weak.Activity is resumed slowly to avoid reinjury.

For Cast Removal,the Nurse Correctly Instructs the Client That