Pediatric ATI Practice Exam

What finding should guardians report to the provider after their toddler has a lower leg cast applied?

1. Capillary refill time less than 2 seconds.

2. Restricted ability to move the toes.

3. Swelling of the casted foot when the leg is dependent.

4. Pedal pulse +3 bilateral.

The correct answer is: Restricted ability to move the toes.

The appropriate finding for guardians to report to the provider after their toddler has a lower leg cast applied is a restricted ability to move the toes. After the application of a cast, it is essential to monitor the affected limb for any signs of complications, including impaired circulation or nerve function. While some slight restrictions in movement may occur due to swelling or the casting itself, a complete inability to move the toes can indicate a significant problem, such as compartment syndrome or nerve compression. This finding is more concerning than other options presented, as it suggests a potential compromise to the vascular or neurological integrity of the foot. Capillary refill time being less than 2 seconds is generally a normal finding and indicates adequate blood flow. Swelling of the casted foot when the leg is dependent could be a typical response due to gravity and is not necessarily alarming unless accompanied by other symptoms. A pedal pulse of +3 is indicative of increased blood flow, which might not warrant immediate concern. Monitoring the ability to move the toes is crucial, and any limitation in movement should be promptly reported to prevent further complications.