NCLEX-RN

Category - Physiological

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A client with a femoral fracture was fitted with a cast. After six hours, the client reports a tingling sensation in his toes. What information is most important for the nurse to obtain at this moment?

Level of pain
Check for altered level of consciousness
Vital signs, blood pressure, heart rate and respiratory rate
Ability to move the toes

Explanation

Answer: D - Tingling of toes is associated with neurovascular integrity. The nurse should regularly check for the ability to move the toes and assess sensation. Pain is expected with long bone fractures. An altered level of consciousness should be evaluated but this is not related to the tingling sensation in the toes.

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