A 16-year-old has had a full leg cast in place for 2 months, and it is being removed today. Which of the following assessment findings would be expected following the removal of the cast? (Se-lect all that apply.)
1. Popliteal pulse equal in both legs
2. Slight footdrop noted on affected leg
3. Swelling noted at ankle on affected leg
4. Weight bearing less stable on affected leg
5. Calf circumference greater in unaffected leg
6. Greater range of motion of knee of unaffected leg
ANSWER
ANS: 1, 4, 5, 6
Even this temporary immobilization results in some muscle atrophy, loss of muscle tone, and joint stiffness. Pulses should be equal, and there should not be swelling or footdrop on either foot.
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