Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
Adolescent with a newly applied fiberglass cast for a fractured tibia.A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct answer
A
Rationale
The correct answer is A: Perform a neurovascular assessment. This is the priority action because a fiberglass cast can lead to compartment syndrome, which can compromise blood flow and nerve function. Assessing neurovascular status helps in early detection of any circulation or nerve issues. Applying an ice pack (B) is not appropriate as it can cause constriction and affect circulation. Providing reassurance (C) and explaining discharge instructions (D) are important but not as critical as assessing neurovascular status.