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    Ati lpn med surg musculoskeletal system test proctored exam

    A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?

    Explanation & Rationale

    A. Cool toes indicate impaired circulation, but this usually occurs after edema develops. B. Edema of the toes is often the first sign that a cast is too tight, as swelling occurs distal to the cast and may progress to compromise circulation and nerve function. C. Inability to move toes is a later sign indicating severe neurovascular compromise. D. Pallor also indicates compromised circulation, which occurs after swelling has already begun.

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