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Original Question

Janice Watts, a 24-year-old female client, is admitted after a motor vehicle crash for a closed reduction of the left fibula and tibia fractures and application of a cylinder plaster cast because of the edema present. The client had previously used crutches and has a pair of crutches. She will be non-weight-bearing. The vital signs are T, 98° F; BP, 120/70 mm Hg; HR, 78 beats/ minute; RR,20 breaths/minute. She stated the pain is relieved after the narcotic analgesic wasprovided 30 minutes earlier and that she is comfortable. The client had suffered a concussion as well and will remain in the hospital for the next 24 hours. The client has no known allergies. She has no previous hospitalizations and does not take any medications. The LPN/LVN will need to take care of the client after she has the cast applied in the casting room. (Learning Objective2) a. What nursing management is needed right after a plaster cast has been applied? b. Four hours after the client arrived to the orthopedic floor she complains that her leg and foot hurts more than before the cast was applied. She rates the pain 10/10 despite having pain medication 30 minutes earlier. She has numbness and tingling in the leg. What is probably happening and what should the LPN/LVN do?

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