The nurse is assisting the physician with the application of a cast to a 27-year-old with a fractured ankle. Which of the following instructions takes priority?


• Numbness in the affected leg is a sign of arterial insufficiency and should be reported to the physician immediately

• The ankle should be elevated to decreased edema and promote venous return. This will help prevent compartment syndrome

• Weight bearing status is prescribed by the physician after a follow-up appointment, and she should be instructed to avoid scratching under the cast to prevent infection, and all are important teaching points, but the risk arterial insufficiency takes priority at this time

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