Asked by Fatimah Haadrat on Jun 14, 2024
Verified
Which should cause a nurse to suspect that an infection has developed under a cast?
A) Complaint of paresthesia
B) Cold toes
C) Increased respirations
D) "Hot spots" felt on cast surface
"Hot Spots"
Areas or locations of intense activity, interest, or danger; often used in the context of environmental issues or network connectivity.
Paresthesia
An abnormal sensation, such as tingling or prickling ("pins and needles"), usually felt in the hands or feet, often without a physical cause.
- Appreciate the necessity of suitable cast treatment and the examination for any complications.
- Pinpoint the symptoms and signs that suggest possible complications in pediatric individuals with orthopedic concerns.
Verified Answer
ZK
Zybrea KnightJun 15, 2024
Final Answer :
D
Explanation :
If hot spots are felt on the cast surface, they usually indicate infection beneath the area. This should be reported so that a window can be made in the cast to observe the site. The five Ps of ischemia from a vascular injury are pain, pallor, pulselessness, paresthesia, and paralysis. Paresthesia is an indication of vascular injury, not infection. Cold toes may be indicative of too tight a cast and need further evaluation. Increased respirations may be indicative of a respiratory tract infection or pulmonary emboli. This should be reported, and child should be evaluated.
Learning Objectives
- Appreciate the necessity of suitable cast treatment and the examination for any complications.
- Pinpoint the symptoms and signs that suggest possible complications in pediatric individuals with orthopedic concerns.