PN Adult Medical Surgical Practice Exam

What statement indicates a client understands the teaching about cast removal?

1. "I will scrub the skin to remove the old skin flakes."

2. "I can expect my leg to be swollen after the cast is removed."

3. "I can go back to my usual activities as soon as the cast is off."

4. "I will feel vibrations on my leg from the cast cutter."

The correct answer is: "I will feel vibrations on my leg from the cast cutter."

The acknowledgment that feeling vibrations on the leg from the cast cutter indicates an understanding of the cast removal process is correct because it reflects awareness of what sensations are normal during the procedure. When a cast is removed, the saw used to cut it does not actually touch the skin, but it does create vibrations that can be felt through the cast. Recognizing this sensation helps reassure clients that the removal process is safe and does not harm the skin underneath. The other statements do not capture the right understanding of post-cast care and expectations. For instance, scrubbing the skin aggressively after removal can lead to skin irritation or injury, and while swelling can occur, it's essential to note that excessive or prolonged swelling may need medical attention. Returning to usual activities immediately after cast removal could risk injury or complications, as the affected area may require a gradual return to normal function. Therefore, understanding the nature of the sensations experienced during cast removal is crucial for a well-informed patient.