After several days in traction, the patient has a long leg fiber glass cast applied to his left leg. Before the patient is discharged, the nurse should instruct the patient on which of the following?

Explanation

•Keeping the cast intact and keeping it dry are important for the integrity of the cast and healing of the fracture.

•Discharge teaching for a patient going home with a cast requires detailed instruction to cast care. It is important to instruct the child to keep his cast dry. Cover with a plastic bag to shower and no swimming is allowed.

•Remind children that autographs are not allowed because fiberglass is a porous material.

•Be certain that the child knows not to put anything inside the cast. If itching occurs inside the cast, blowing some cool air into it from a hair dryer can be comforting. Damage to the cast should be reported.

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