The client has receives a plaster cast for an ulnar fracture. Which client data does the nurse expect on the first day after cast application?
1. Fingers with mild edema
2. Fingers cool, pale, and dry
3. Slow blanching at fingertips
4. Skin bulging over cast edge
1
1. The nurse expects mild edema after a fracture as evidence of the immune response to tissue trauma. After the fracture, healing begins with the inflammatory response where the immune system mobilizes fluid and leukocytes to remove debris, provide hemostasis, and initiate healing.
2 and 3. Cool, pale, dry skin and slow blanching are consistent with clinical indicators of impaired perfusion; the nurse expects adequate perfusion with warm, pink, dry skin and swift blanching.
4. Bulging skin at the top of a cast is consistent with clinical indicators for excessive edema; the nurse does not expect this client datum because excessive edema poten-tially impairs perfusion and nerve function from tissue compression.
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