In cast care, which action is contraindicated?

• A. Insert objects into the cast to relieve itching
• B. Petal the cast to dry quickly
• C. Use the palms of the hands when handling the cast
• D. Elevate the limb

Answer: (A)

In cast care, protecting skin integrity and preserving immobilization are the priorities. Inserting objects into the cast to relieve itching is contraindicated because it introduces a foreign body that can break the skin, create openings for infection, and damage the cast material. This can lead to skin breakdown, pressure ulcers, or complications inside the cast, and it undermines the cast’s purpose of stabilizing the fracture.

If itching occurs, safer options include keeping the limb elevated to reduce swelling, moving joints above and below the cast to improve circulation, and using noninvasive methods such as a cool stream of air from a hair dryer on a cool setting to alleviate itching. If itching or discomfort is severe, it’s important to contact the healthcare provider rather than inserting anything into the cast.