Difficulty: Medium
Average Score: 68%
Simulated
The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?
Correct answer
D
Rationale
Distention and vomiting indicate GI complications (e.g., ileus) in a hip spica cast, requiring assessment. Pulses are accessible, elevation is impractical, and ambulation is limited.