Explain 5 immediate and subsequent nursing care intervention with rationales for a patient in a POP cast.
1-Assess the distal part of cast for neuro-vascular function
2-Assessed for capillary refill by applying pressure to one of client’s toenails or fingernails. after stopping pressure, observed nail to see
how rapidly color returned.
3-Used ONLY palms of my hands on cast when turning and positioning until cast is dry.
4-Avoided handling over joints where nerves and blood vessels are superficial.
5-Supported cast with pillows as necessary, with extremity elevated above level of heart.
6-If cast edges were rough or crumbly, pulled inner stockinet over edge of cast and secured with tape