A client is wearing a lower-leg fiberglass splint after sustaining a fracture. To minimize the risk of pressure injuries and other skin complications, how often should the nurse assess the skin under or around the orthopedic device?
Every 8-12 hours (at least once each nursing shift).
Once every 24 hours after the initial application.
Only when the client reports pain or discomfort near the device.
Every 4 hours throughout the entire hospitalization.
Evidence-based cast-care protocols recommend evaluating the skin beneath or adjacent to casts, splints, or other orthopedic devices at least every 8-12 hours (that is, once each nursing shift). This schedule allows early detection of redness, moisture, or pressure areas so the nurse can pad rough edges, adjust fit, or notify the provider before breakdown occurs. Less frequent inspection (for example, once daily or only when the client complains) can delay intervention, whereas more frequent checks (every 4 hours) may be unnecessary after the first acute period unless the client's condition changes.
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