After a long leg cast is removed, the male client should:
A. Cleanse the leg by scrubbing with a brisk motion
B. Put leg through full range of motion twice daily
C. Report any discomfort or stiffness to the physician
D. Elevate the leg when sitting for long periods of time.
Correct Answer: D. Elevate the leg when sitting for long periods of time.
Elevation will help control the edema that usually occurs.
Option A: Cleansing the leg should be done by patting a wet cloth to avoid injuring the dry skin. It is not unusual for the skin to have some changes (dry skin and more hair). A few baths in warm water will soak off the dry, flaky skin. This may take a few days, but be patient and avoid scrubbing the skin. Scrubbing may damage the new skin.
Option B: The leg should be exercised daily but not put through a full range of motion because the bones are still on the mend and the muscles are weak. It is normal for there to be some discomfort in the muscles and joints that were immobilized. It is not unusual for an arm or leg to be smaller than the other side. Begin gentle range of motion and strengthening of your injured area after the cast is removed. You may be placed into a removable splint after the cast is removed.
Option C: Discomfort and stiffness are normal after a cast is removed. Regular exercises recommended by the physician would help the extremity return to its normal function. As the client progresses out of the cast, physical therapy may be beneficial to help the client to return to normal everyday activities, work, or even sports activities.