A client with a left lower leg fracture in a cast for 3 days complains to the nurse that the pain medication does not relieve the pain any more. The priority action by the nurse would be to
A) administer more analgesics.
B) do a neurovascular assessment.
C) elevate the cast on pillows.
D) notify the physician.

Question

Quizplus · Accepted Answer

Unrelieved pain is a manifestation of compartment syndrome, which is a serious complication of fractures. Other manifestations include pain out of proportion to the injury and escalating pain. If unrecognized or untreated, the client can lose nerve and muscle function. Amputation may be necessary. The nurse should perform a complete neurovascular assessment and notify the physician.

A Client with a Left Lower Leg Fracture in a Cast