💊 NCLEX-RN Exam Prep

A client with a new cast on the left forearm reports severe, throbbing pain that is unrelieved by prescribed opioid analgesics, and the fingers are cool and pale. What is the priority nursing action?

A Administer an additional dose of opioid analgesic
B Elevate the extremity above heart level
C Notify the healthcare provider immediately
D Apply ice packs directly to the cast

✓ Correct Answer: Option C

The symptoms (unrelieved pain, pallor, coolness) are classic signs of compartment syndrome, a medical emergency. Immediate notification of the healthcare provider is crucial for prompt intervention to prevent permanent tissue damage.

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