A patient with a forearm fracture has a cast applied two hours ago. Which assessment finding indicates reduced arterial circulation to the hand?
Correct answer: A. Capillary refill in the fingers takes four seconds
- A. Capillary refill in the fingers takes four seconds
- B. Mild itching develops beneath the cast
- C. The fingers feel warm and move normally
- D. Slight swelling is present around the cast edge
Explanation
Delayed capillary refill suggests impaired peripheral perfusion and requires prompt reassessment of the cast and neurovascular status. Mild itching and limited swelling may occur after casting, while warm fingers with normal movement are reassuring findings.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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