Final answer:
When a child complains of tingling in the toes distal to the fracture site post-casting, the nurse should promptly notify the registered nurse (RN) and document the findings, as tingling may indicate a neurovascular compromise.
Step-by-step explanation:
When a child complains of tingling in the toes after a cast has been applied to the lower leg, the nurse should prioritize addressing potential complications. The tingling could indicate compromised neurovascular status, possibly due to the cast being too tight or swelling within the cast, leading to restricted blood flow and nerve compression. Among the listed actions, the most appropriate initial response would be to notify the registered nurse (RN). The RN or healthcare provider can then evaluate the child's symptoms, consider whether the cast needs to be loosened or removed, and order further testing or intervention if necessary. Additionally, it is also important for the nurse to document the findings accurately in the patient's medical record for ongoing monitoring and legal purposes.
During a neurological exam, reflexes such as the plantar reflex can indicate whether the lower motor neurons (LMN) are functioning correctly. If a patient presents with impaired sensation, as the child in the scenario does, and shows an abnormal plantar reflex, this could signify nerve dysfunction, requiring immediate medical attention. Attention to these details can prevent serious complications such as permanent damage to the nerves or tissue necrosis.