Following the application of a cast to a patient's right lower leg, the nurse is monitoring for complications. Which assessment data leads the nurse to be concerned about a serious complication?
1. The toes on the right foot are pink and warm, and sensation is intact.
2. The patient complains of numbness in the right foot and toes.
3. The patient reports itching under the cast.
4. The patient complains of general discomfort in the lower-right leg.
Correct Answer: 2
Numbness should be reported right away. It may indicate pressure on nerves or blood vessels related to a tight cast, which can lead to compartment syndrome. The exposed extremities should be pink and warm, with sensation. Itching and generalized discomfort are anticipated for the patient who recently had a cast applied.
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