A client has been hospitalized after an automobile accident.
A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to:- A- Improve venous return***
- B- Reduce the drying time
- C- Decrease irritation to the skin
- D- Promote the client's comfort.
The most important reason for a nurse to elevate a casted leg after an automobile accident is to reduce swelling (option A).
Here's why:
- Venous return:
While elevating the leg does improve venous return to some extent, this is not the primary reason for elevation in this case. The main concern after an injury is swelling, and elevation is the most effective way to address it.
- Drying time:
The drying time of the cast is not affected by elevation. In fact, elevating the leg can help prevent pooling of cast material, which can prolong drying time.
- Skin irritation:
While elevation can help reduce pressure on the skin under the cast and potentially decrease irritation, this is not the primary goal. The main purpose is to reduce swelling, which can also help prevent skin breakdown.
- Client comfort:
While elevating the leg can improve comfort for some clients, it is not the primary reason for doing so. The primary goal is to reduce swelling, which can significantly improve comfort and pain levels.
Therefore, the most important reason for elevating a casted leg after an automobile accident is to reduce swelling, which can help promote healing, prevent complications, and improve the client's overall comfort and well-being.
Additional Points:
Here are some additional points to consider:
- The specific angle of elevation will depend on the severity of the injury and the doctor's orders. Typically, the leg should be elevated above the level of the heart.
- The client should be encouraged to move their toes and ankle regularly to help improve circulation and prevent blood clots.
- It is important to keep the cast clean and dry to prevent skin irritation and infection.
