QUESTION IMAGE
Question
a nurse is assessing a client who has just had a lower - leg cast application to stabilize an ankle fracture. which of the following findings in the affected extremity is the nurses priority?
pain at the fracture site with movement
numbness in the toes
mild edema to the toes
ecchymosis at the base of the toes
When a client has a cast, numbness (paresthesia) in the toes can indicate neurovascular compromise (such as compartment syndrome). Compartment syndrome is a serious condition where increased pressure within a confined space (like under a cast) reduces blood flow and can cause nerve damage. Pain at the fracture site with movement is expected after a fracture. Mild edema (swelling) can be a normal post - cast application finding (as long as it is mild). Ecchymosis (bruising) at the base of the toes is also a common post - injury finding.
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Numbness in the toes