Nurse Larry is caring for a client who has just had a plaster leg cast applied.
The nurse would plan to prevent the development of compartment syndrome by instructing the licensed practical nurse assigned to care for the client to:- A- Elevate the limb and apply ice to the affected leg.
- B- Elevate the limb and cover the limb with bath blankets.
- C- Place the leg in a slightly dependent position and apply ice to the affected leg.
- D- Keep the leg horizontal and apply ice to the affected leg.
The best action for preventing compartment syndrome after a plaster cast application is: A. Elevate the limb and apply ice to the affected leg.
Here's why the other options are not recommended:
B. Elevate the limb and cover the limb with bath blankets:
While elevation is good, adding blankets could trap heat and contribute to swelling.
C. Place the leg in a slightly dependent position and apply ice to the affected leg:
Placing the leg in a dependent position could worsen swelling and is counterproductive.
D. Keep the leg horizontal and apply ice to the affected leg:
Keeping the leg horizontal won't promote drainage and potentially increase swelling.
Therefore, elevating the limb and applying ice are the key actions to prevent compartment syndrome. Elevation helps drain fluids away from the leg, and ice reduces inflammation and swelling.
Additional Points:
Here are some additional points to consider:
- Encourage the client to move their toes and wiggle their ankle if not contraindicated.
- Monitor the client for signs and symptoms of compartment syndrome, such as pain, numbness, tingling, tightness, and pallor.
- Educate the client and their caregivers about the risks and symptoms of compartment syndrome.
By following these guidelines, Nurse Larry can help ensure the client's safety and prevent potential complications.
