Following a closed reduction of a fractured wrist, which finding requires immediate nursing intervention?

The finding that indicates the need for immediate nursing intervention is the report of a prickling sensation in the right hand by the client. This symptom can be indicative of nerve irritation or compromise, which may occur as a result of the fracture or the positioning of the limb after a closed reduction. Such sensations, often described as paresthesia, may signal a potential complication that could lead to further neurological deficits if not addressed promptly.

In the context of the other findings, warm skin and normal color suggest adequate circulation, while slight swelling of the fingers can be a normal post-operative response and does not typically necessitate immediate action unless it is severe or associated with other concerning symptoms. A capillary refill time of 3 seconds is slightly prolonged but not alarmingly so; the standard is usually under 2 seconds. While a longer capillary refill time may warrant monitoring, it is not as urgent as the sensation reported, which could indicate a more serious issue. Therefore, immediate attention to the prickling sensation is crucial to prevent possible complications.