The nurse would include which assessments to evaluate the neurovascular status of a client with a short-arm cast and arm sling? Select all that apply
1. Pain in or around the casted area
2. Paresthesia of the hand and/or some of the fingers
3. Paraplegia
4. Passive ROM limitations at the elbow
5. Peripheral muscle tone loss
1. Pain in or around the casted area
2. Paresthesia of the hand and/or some of the fingers
Rationale: Pain in or around the casted area. Pain is related to nerve and blood vessel compression that would indicate a compromised neurovascular integrity. Additional Ps that are noted include: paresthesia, paralysis, pallor, pulse changes. Paresthesia of the hand and/or some of the fingers. Paresthesia is related to nerve and blood vessel compression that would indicate a compromised neurovascular integrity. Additional Ps that are noted include: pain, paralysis, pallor, pulse changes. Paraplegia. Paraplegia is defined as the motor and sensory loss of the lower extremities and does not relate to upper extremity assessments. Passive ROM limitations at the elbow. Passive ROM limitations at the elbow relate to muscle, tendon, and ligament limitations and not to the nerves or vascular supply. Peripheral muscle tone loss. Peripheral muscle tone losses are related to wasting of muscle tissue from disuse, misuse, or the absence of use over a period of time. Muscle tone loss does not relate to the neurovascular integrity assessment of the arm.
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