Which statement about cast care on the first day is true?

Which statement about cast care on the first day is true?

• A. Soak the cast in water
• B. Apply ice directly to the cast
• C. Keep the extremity elevated
• D. Remove the cast on day 1

Answer: (C)

Elevating the limb helps reduce swelling right after the cast is applied. When the extremity is raised above heart level, gravity assists venous return and reduces fluid buildup inside and around the cast, which can lessen pain and the feeling of tightness. Soaking the cast in water isn’t safe because most casts aren’t waterproof. Water can weaken plaster, warp fiberglass, irritate the skin, and may lead to skin infections or mold as it dries. Ice should not be applied directly to the cast either, since moisture and extreme cold against the casted area can cause problems; ice is better used around the outside of the cast with a cloth barrier if needed. Removing the cast on the first day is unsafe because immobilization is needed to protect the healing area; only a clinician should decide when removal is appropriate.

Elevating the limb helps reduce swelling right after the cast is applied. When the extremity is raised above heart level, gravity assists venous return and reduces fluid buildup inside and around the cast, which can lessen pain and the feeling of tightness.

Soaking the cast in water isn’t safe because most casts aren’t waterproof. Water can weaken plaster, warp fiberglass, irritate the skin, and may lead to skin infections or mold as it dries. Ice should not be applied directly to the cast either, since moisture and extreme cold against the casted area can cause problems; ice is better used around the outside of the cast with a cloth barrier if needed.

Removing the cast on the first day is unsafe because immobilization is needed to protect the healing area; only a clinician should decide when removal is appropriate.