Quote from julsywulsy
Thank you for supporting my answer A which I was told was incorrect. As there was no evidence of CS (no symptoms listed other than pain) I thought A was correct.
The Lecturer told us it was to cut the cast off, but didnt really give us her rationale. I guess I am having a hard time "thinking critically". The problem is that most of the exam questions are written this way so its hard to know what exactly they want us to answer....
Thanks for your replies, I thought I was crazy for a minute...
Sorry, but as soon as I read the question I thought - ok, CS. You have to answer the question with the info they give you. Here, they're saying - 1) Cast was "just" placed 2) they got pain meds and pain is "worse".
Let's say maybe the pain meds weren't enough, or it was PO and maybe didnt kick in all the way, you'd still have to wonder why the pain is "worse" as opposed to not relieved. The answer may be a little intimidating in that it says "send for the cast cutter" (i.e. making you the authority) as opposed to call MD and if ordered, then call the cast cutter. Either way though, the pt needs to be thoroughly assessed by the MD/PA/NP.
Obviously, if there was a choice to check neuro/circulation I'd do that first. But thats not a choice. All the other choices are simply ignoring the fact that the pain is worse, and no choice says anything about getting medical attention.