A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

Diminished pulses on the affected extremity. This finding may indicate compromised circulation, which is a serious complication that requires immediate intervention. Option a. Ecchymosis on the inner left thigh may be a concerning finding, but it is not as urgent as diminished pulses. Ecchymosis may be a result of trauma during cast application and may resolve on its own. Option b. One fingerbreadth of space between the cast and the skin is a normal finding and indicates that the cast is not too tight. Option d. Client report of muscle spasms of the left leg is a common complaint in clients with casts and may be addressed with medication or other interventions, but it is not as urgent as diminished pulses.