Which findings should suggest impairment of neurovascular status in a client with a cast?

Severe, deep, unrelenting pain in a client with a cast is a significant finding that suggests impairment of neurovascular status. This type of pain often indicates that there may be increased pressure in the compartment surrounding the affected limb, potentially leading to conditions such as compartment syndrome. In a healthy situation, pain would typically be more manageable after casting, and an increase in severity or a change in character (e.g., becoming deep and unrelenting) raises red flags for compromised blood flow or nerve function.

The context surrounding other findings is also pertinent. Mild throbbing pain could be part of the normal healing process, while good range of motion, especially if intentionally guided by rehabilitation, does not indicate neurovascular compromise. Additionally, the absence of sensation in the extremities could indicate nerve damage or severe compromise, but does not specify the nature of the pain which is critical in assessing neurovascular status. Thus, severe, deep, unrelenting pain is a clear indicator that warrants further investigation for potential complications.