The nurse should assess a patient with a long leg cast for which signs that would indicate compromised circulation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Swelling of the toes
2. Drainage on the cast
3. Elevated temperature
4. Foul odor
5. A tight cast
1,5
Rationale 1: Swelling of the toes is likely due to decreased venous return caused by the cast being too tight.
Rationale 2: Drainage may indicate bleeding or infection.
Rationale 3: An elevated temperature indicates infection.
Rationale 4: Foul odor indicates an infective process.
Rationale 5: Edema can cause the cast to become tight. A tight-fitting cast can lead to compartment syndrome.
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