Question

a nurse is caring for a client immediately following application of a plaster cast. the nurse should monitor for and report which of the following findings as an indication of compartment syndrome?

• sensation of heat on the surface of the cast
• paresthesias of the extremity
• pruritus of the extremity
• musty odor noted from cast materials

Explanation:

To determine the indication of compartment syndrome after plaster cast application, we analyze each option:

• "Sensation of heat on the surface of the cast": Heat from the cast is normal initially due to the setting process, not a sign of compartment syndrome.
• "Paresthesias of the extremity": Paresthesias (numbness, tingling) occur due to nerve compression from increased pressure in the compartment, a key sign of compartment syndrome.
• "Pruritus of the extremity": Itching is common with casts (due to skin irritation or dryness) and not specific to compartment syndrome.
• "Musty odor noted from cast materials": A musty odor may indicate infection, not compartment syndrome.

Answer:

B. Paresthesias of the extremity