A client has a long leg cast as a result of a fractured femur. Which of the following findings would indicate adequate circulation is occurring in the limb?
1. No evidence of edema of the toes or change in sensation
2. Drainage on the cast
3. Increased temperature
4. Cast emitting foul odor
1. No evidence of edema of the toes or change in sensation
Rationale:
Constriction of circulation decreases venous return and increases pressure within vessels. Fluid then shifts into the interstitial space, causing edema. If the toes are not edematous and the client can feel the nurse touch the toes, the client has intact circulation to the limb. Foul odor, drainage, and increased temperature would indicate potential infection.
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a. Hydroxyzine (Atarax) b. Lorazepam (Ativan) c. Metoclopramide (Reglan) d. Morphine sulfate
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