An expected outcome of cast application that the nurse evaluates is:

• A. Skin irritation at the cast edges
• B. Decreased cap refill
• C. Tingling and numbness distal to the cast
• D. Slight edema, soreness, and limitation of range of motion

Answer: (D)

The main idea here is that after a cast is applied, milder, expected changes like slight swelling, mild soreness, and reduced movement of the joint within the cast are normal as the limb is immobilized and begins to heal. This combination reflects the body's response to casting and the restriction of motion, not a complication. The nurse checks that these symptoms are mild and improving as swelling settles and that circulation remains adequate.

If numbness, tingling, or color changes distal to the cast occur, or if capillary refill is slowed or absent, those would signal possible nerve compression or vascular compromise and require immediate attention. Skin irritation at the edges can happen, but it’s not the typical positive finding the nurse looks for as a routine expected outcome.