The parents of an active 9-year-old are leaving the emergency department (ED) following cast placement for their son's lower extremity as a result of a fall in soccer. The nurse should emphasize that assessment of the cast is important and that they should bring their son back to the ED if they note which of the following signs and symptoms? Select all that apply.

Question

Quizplus · Accepted Answer

If the circulation becomes inadequate (on a casted extremity), the parts that are exposed at the distal end of the cast (i.e., the toes with a leg cast and the fingers with an arm cast) usually become cold and cyanotic or pale. An increase in pain may occur initially, followed by paresthesia (tingling or abnormal sensation) or anesthesia as the sensory neurons that supply the area are affected. There is a decrease in amplitude of the pulse in areas where the arteries can be palpated. Bruising in the lower foot and toes would be considered normal following this type of fracture. Blood tends to pull in the lower tissues.

The Parents of an Active 9-Year-Old Are Leaving the Emergency