Practice Question
A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
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Correct Answer:
Perform a neurovascular check of the lower extremities.
Rationale:
🔷 Neurovascular checks are essential for early detection of compartment syndrome, a serious complication after casting that may result from swelling or compression of tissues inside the cast.
🔷 The assessment includes evaluating the 6 Ps: pain, pallor, pulses, paresthesia, paralysis, and poikilothermia (temperature of the limb). These signs are vital for determining tissue perfusion.
🔷 A newly applied plaster cast can restrict circulation if swelling occurs underneath, so frequent assessment is crucial in the first 24 hours post-application.
🔷 Children may not verbalize discomfort accurately, making objective assessment (capillary refill, color, temperature) even more important in pediatric clients.
🔷 Early intervention upon detecting neurovascular compromise can prevent permanent nerve damage or limb ischemia, preserving function and circulation.
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This question is from ATI LPN Pediatric Exam which contains 51 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pediatrics
- Answer Choices: 4