Justine (CNA) was instructed by the staff nurse to elevate the client’s left limb, which is in a cast, to prevent swelling. Which of the following actions indicates that Justine is elevating the limb with the cast correctly?
  1. She places the limb with the cast above the level of the heart.
  2. She places the limb with a cast close to the body.
  3. She places the limb with the cast below the level of the heart.
  4. She places the limb with the cast at the level of the heart.
Explanation
Answer: A - To reduce swelling, place the limb with the cast above the level of the heart with the use of pillows. Placing it below or at the level of the heart won’t reduce swelling. To elevate a cast, the limb may need to be extended from the body.
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