After the cast on a client's fractured ulna has been changed to a bivalve cast, the nurse will alter the approach to care by
A) omitting vascular checks to the extremity.
B) preventing pinching the extremity between the two halves.
C) taking off both halves of the cast when x-ray films are ordered.
D) taping the halves together with paper tape.

Question

Quizplus · Accepted Answer

The bivalve cast allows for removal of the top half for wound care or x-ray films and for ease in assessing tissue perfusion or pressure areas. When the top half is reapplied, the nurse must take precaution not to pinch the client's extremity between the two halves as they are secured together with an Ace wrap.

After the Cast on a Client's Fractured Ulna Has Been