Pediatric ATI Practice Exam

What should the nurse assess for in an adolescent who has pain and tingling after a cast application?

1. Signs of infection

2. Circumferential swelling

3. Circulatory impairment

4. Skin abrasions

The correct answer is: Circulatory impairment

In the case of an adolescent experiencing pain and tingling after a cast application, assessing for circulatory impairment is crucial. The presence of pain and tingling can indicate compromised blood flow to the area, which might occur if the cast is too tight or if there is excessive swelling that restricts circulation. It’s important to monitor for any signs of decreased circulation, such as changes in skin color, temperature, or pulses below the cast. By identifying and addressing circulatory impairment promptly, the nurse can help prevent serious complications, such as tissue damage or loss of function. While signs of infection, circumferential swelling, and skin abrasions are also relevant aspects to consider in the context of cast management, the immediate concern in the presence of pain and tingling points primarily to potential issues with blood flow. Thus, focusing on circulatory impairment is the appropriate priority in this scenario.