Difficulty: Medium
Average Score: 65%
Simulated
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
C
Rationale
Providing reassurance is important but not as urgent as assessing neurovascular status. Discharge instructions are necessary but can wait until the client's immediate safety is ensured. The priority is to ensure that the circulation, sensation, and movement of the affected limb are intact, which helps identify potential complications like compartment syndrome early. Applying ice can help with swelling but is secondary to ensuring neurovascular integrity.