NCLEX-RN

Category - Care Management

A nurse received 4 messages while she was out of the clinic. The nurse should call which of the following clients first?
  1. A male client with a cast on his left leg, reporting that his injured leg feels numb.
  2. A female client with osteoporosis, reporting low back pain.
  3. A female client prescribed with an antidepressant a week ago, reporting that she does not feel any improvement.
  4. A mother who gave birth a week ago, complaining of abdominal cramps during breastfeeding.
Explanation
Answer: A - Severe pain, pallor, paralysis, paresthesia or loss of palpable pulses on the casted leg suggests neurovascular compromise, which requires immediate assessment and treatment. The other clients are not a priority.
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