Question

A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hours ago. The nurse should instruct the guardians to report which of the following findings to the provider?

A) Mild swelling and warmth
B) Capillary refill less than 2 seconds
C) Tingling and numbness in the toes
D) Discoloration or foul odor from the cast

Answer 1

The guardians of a toddler with a new lower leg cast should report tingling and numbness in the toes, and discoloration or foul odor from the cast to the healthcare provider, as these can indicate nerve compression or infection.

Step-by-step explanation:

When caring for a toddler with a newly applied lower leg cast, it is crucial to monitor the cast for any signs of complications. Among the options provided, the guardians should be instructed to report finding C (Tingling and numbness in the toes) and finding D (Discoloration or foul odor from the cast) to the healthcare provider. These symptoms may indicate serious issues such as nerve compression, compromised circulation, or infection.

• Mild swelling and warmth (option A) can be normal following cast application, especially within the first 24 hours.
• Capillary refill less than 2 seconds (option B) suggests good circulation and is not a concern.
• Tingling and numbness in the toes (option C) may be indicative of nerve compression or inadequate circulation, which is an emergency situation requiring immediate medical attention.
• Discoloration or foul odor from the cast (option D) could signal a developing infection, which also necessitates prompt reporting to the healthcare provider.

Guardians should observe for any changes in sensation, color, temperature, and smell emanating from the area of the cast as these can be the early warning signs of complications that need to be addressed immediately to prevent further harm to the child.