Case Study, Chapter 40, Musculoskeletal Care Modalities
1. June Frankel, a 23-year-old patient, presents to the emergency department with a
sports- related fracture injury to her right arm and receives a long-arm fiberglass cast.
(Learning Objective 2)
1. What nursing assessment should the nurse provide after the cast has been
applied? The nurse should assess the neuro vascular compromise like pain, pallor,
paresthesia, paralysis and etc. assess swelling, discoloration of finger, check peripheral
pulses, hot spots and wet spots near cast area.
2. What nursing interventions should the nurse provide?
Pt education, may take 24072 hrs to dry completely, cast should be uncovered exposure to air to
dry, position change q1-2hrs, check color, warmth, circulation, movement, avoid application of
powder, ointment on cast area. Check 5p’s.
2. Sue Newhart, a 55-year-old patient, is admitted to the medical-surgical unit after a total
hip arthroplasty due to osteoarthritis. (Learning Objectives 5 and 6)
1. What considerations should the nurse follow when positioning the patient in
bed after hip surgery?
1. June Frankel, a 23-year-old patient, presents to the emergency department with a
sports- related fracture injury to her right arm and receives a long-arm fiberglass cast.
(Learning Objective 2)
1. What nursing assessment should the nurse provide after the cast has been
applied? The nurse should assess the neuro vascular compromise like pain, pallor,
paresthesia, paralysis and etc. assess swelling, discoloration of finger, check peripheral
pulses, hot spots and wet spots near cast area.
2. What nursing interventions should the nurse provide?
Pt education, may take 24072 hrs to dry completely, cast should be uncovered exposure to air to
dry, position change q1-2hrs, check color, warmth, circulation, movement, avoid application of
powder, ointment on cast area. Check 5p’s.
2. Sue Newhart, a 55-year-old patient, is admitted to the medical-surgical unit after a total
hip arthroplasty due to osteoarthritis. (Learning Objectives 5 and 6)
1. What considerations should the nurse follow when positioning the patient in
bed after hip surgery?
