Mr. Phillips fractured his left leg and now has a cast. A nurse assistant caring for Mr. Phillips should do all of the following except:
  1. Elevate the cast with one pillow.
  2. Place talcum powder under the cast when the client complains of itchiness.
  3. Check for discoloration of the toes.
  4. Keep the cast clean and dry.
Explanation
Answer: B - Placing talcum powder under the cast when the client complains of itchiness is not allowed. The extremity should be elevated for 24 to 48 hours. Keeping the cast clean and dry and monitoring for discoloration of the toes, presence of distal pulses, or foul odor coming from the cast are all correct measures for clients with a cast.
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