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The nurse assesses a client two hours after a lower-leg cast was applied. Which findings require immediate follow-up? Highlight the findings associated with acute compartment syndrome.

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Assessment area	Current finding
Pain	Lower-leg pain is 9/10 and persists after intravenous opioid and careful elevation.
Capillary refill	Capillary refill in each toe is two seconds, with skin color unchanged from the prior check.
Swelling	Moderate swelling at the fracture site has not increased since the cast was applied two hours ago.
Passive movement	Passive extension of the great toe causes intense pain deep beneath the cast.
Pulse	The dorsalis pedis pulse remains palpable, regular, and equal to the opposite foot.
Sensation	New tingling is reported across the toes and the top of the affected foot.
Skin	Bruising remains localized over the fracture and has not spread beyond the marked border.
Movement	The client can no longer lift the great toe as during the previous assessment.
Temperature	The toes are warm, pink, and match the skin temperature of the unaffected foot.

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