A 7-year-old child is admitted with a closed mid-shaft femur…
A 7-year-old child is admitted with a closed mid-shaft femur fracture and has just had a long leg cast applied. During the first post-casting assessment, the nurse notes the following: Toes are pale and cool to touch Capillary refill in toes is >4 seconds The child reports increasing pain unrelieved by analgesics The cast is dry, intact, and elevated on pillows What is the nurse’s priority action?
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