The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the foot in the cast. The nurse's initial action is to:
1. Call the physician to report increasing pain.
2. Administer pain medication.
3. Reposition the child in bed.
4. Check to see whether the cast is too tight.
4
Rationale:
1. Although this action is appropriate, the nurse's initial action is to assess for external factors that might be causing pain. Therefore, the nurse should first check to see if the cast is too tight.
2. Although this action is appropriate, the nurse's initial action is to assess for external factors that might be causing pain. Therefore, the nurse should first check to see if the cast is too tight.
3. Although this action is appropriate, the nurse's initial action is to assess for external factors that might be causing pain. Therefore, the nurse should first check to see if the cast is too tight.
4. The nurse's initial action is to assess for external factors that might be causing pain. Therefore, the nurse should first check to see if the cast is too tight.
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