CNA Certification (Written Exam)Basic Nursing SkillsHard
A nurse aide is observing a resident who has a new cast on their arm. Which of the following observations should be reported to the nurse immediately?
- AThe resident complains of numbness and tingling in their fingers.
- BThe resident's cast appears clean and intact.
- CThe resident is resting comfortably in bed.
- DThe resident requests a glass of water.
Show answer & explanationAnswer & explanation
Correct answer: A. The resident complains of numbness and tingling in their fingers.
Numbness and tingling in the fingers after a cast application can indicate impaired circulation or nerve compression, which is a serious complication requiring immediate nursing intervention to prevent permanent damage.
Why the other options are wrong
- B. A clean and intact cast is a normal and desired observation.
- C. Resting comfortably is a positive sign and does not require immediate reporting.
- D. A request for water is a routine need and not an immediate emergency.
Cast Complication Reporting
After cast application, immediate reporting of signs like numbness, tingling, severe pain, pallor, or coldness in the affected extremity is crucial, as these can indicate serious circulatory or nerve compromise.
- Circulatory impairment is a critical concern with casts.
- Numbness/tingling indicates nerve compression or poor circulation.
- Prompt reporting prevents permanent tissue damage.
Memory trick: The 5 Ps: Pain, Pallor, Pulselessness, Paresthesia, Paralysis. Report them fast!