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A Patient in a Cast for a Right Tibial Fracture

Question 5

Multiple Choice

A patient in a cast for a right tibial fracture complains of increasing pain, unrelieved by analgesics. Assessment by the nurse reveals paresthesias and paleness of the right foot. What action should the nurse take first?


A) Administer analgesia for breakthrough pain, and reassess the patient in 30 minutes.
B) Elevate the leg above the heart, and reassess the patient in 30 minutes.
C) Notify the orthopedic physician immediately.
D) Ask the patient to do dorsiflexion and plantar flexion exercises of the foot.

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