A client with a lower leg cast reports severe pain unrelieve… | MyMerci
Complications of ProceduresROR
Question
A client with a lower leg cast reports severe pain unrelieved by prescribed opioid medication. The toes are pale and the client reports numbness. Which complication should the nurse suspect?
1Expected cast discomfort.
2Compartment syndrome.✓ Correct answer
3Venous stasis dermatitis.
4Mild muscle strain.
Explanation
Severe pain unrelieved by opioids with pallor and numbness after casting suggests compartment syndrome, a limb-threatening emergency. This is not expected cast discomfort. Prompt neurovascular assessment and provider notification are needed.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Cast neurovascular compromise.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Cast neurovascular compromise, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Compartment Syndrome — Increased pressure in a closed muscle compartment that reduces perfusion.
Neurovascular Assessment — Evaluation of circulation, sensation, movement, pain, and pulses.
Cast — A rigid device used to immobilize an injured bone or joint.