The nurse checks a patient's casted right leg resting upon a pillow and finds that the cast appears too tight. What should the nurse do?
a. Notify the RN.
b. Administer pain medication.
c. Apply an extra blanket to the leg.
d. Remove the pillow under the cast.
ANS: A
The nurse should notify the RN. A serious complication of a cast being too tight is compartment syndrome. The physician needs to be contacted for orders to cut the cast with a cast cutter to relieve pressure and prevent pressure necrosis of the underlying skin. B. There is no information to support that the patient is in pain. C. There is no information to support that the limb is cool. D. The limb should be elevated or supported with pillows.
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