Which action should the nurse include in a plan of care for a client with a fiberglass cast on the right arm
A．Keep the casted arm warm with a light blanket.
B．Avoid handling the cast for 24 hours or until dry.
C．Assess pedal and posterior tibial pulses every 2 hours.
D．Assess movement and sensation in the fingers of the right hand.
参考答案：D
解析：The nurse should assess a casted arm every 2 hours for finger movement and sensation to ensure that the cast isn't restricting circulation. To reduce the risk of skin breakdown, the nurse should leave a casted arm uncovered to allow for air circulation through the cast pores to the skin below. Unlike plaster casts, fiberglass casts dry quickly and can be handled without damage soon after application. The nurse should assess the brachial and radial pulses distal to the cast--not the pedal and posterior tibial pulses, which are found in the legs.