A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?

A. Pain following range-of-motion exercises is incorrect. Mild discomfort during movement can be expected in a healing fracture. However, severe pain unrelieved by medication or worsening pain should be reported as it could indicate compartment syndrome. B. Coolness of the toes is correct. Cool or pale toes may indicate compromised circulation, which is a sign of compartment syndrome or impaired perfusion. This is a medical emergency and should be reported immediately. C. Pruritus under the cast is incorrect. Itching is a common, non-emergent issue with casts and can be managed with safe interventions such as blowing cool air inside the cast. However, inserting objects to scratch the skin should be avoided. D. Presence of swelling while the extremity is dependent is incorrect. Some degree of swelling is expected when the limb is in a dependent position. Elevating the extremity can help reduce swelling, but persistent swelling with other signs of neurovascular compromise should be reported.