What should the nurse include in the discharge teaching for a patient with a newly applied cast?

: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.

a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.

Regularly monitoring neurovascular status, including assessing pulses, capillary refill, sensation, and motor function, is essential for early detection of compartment syndrome, which can occur after a fracture. Compartment syndrome is a serious condition where increased pressure within the muscle compartment can compromise blood flow and nerve function.

a. Administering analgesics for pain relief is important, but it does not directly prevent compartment syndrome.
b. Elevating the affected limb above the heart can help reduce swelling but does not specifically prevent compartment syndrome.
c. Applying ice packs to the fracture site can help reduce pain and swelling but is not a preventive measure for compartment syndrome.