Assessment of an extremity six hours after surgical alignment and casting demonstrates pulselessness and pallor.The priority action to take is to

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The priority action is to have the cast split or removed because these are signs of compartment syndrome and emergent decompression is needed.While increasing pain medication may be appropriate,it is not the priority action.It is not the priority action to note pain increases in the chart.In compartment syndrome,extremity is not to be elevated above the heart,as that may lower venous pressure and slow arterial perfusion.

Assessment of an Extremity Six Hours After Surgical Alignment and Casting