What intervention might a nurse consider for a client complaining of pain under a cast?

When a client experiences pain under a cast, one appropriate intervention is to cut a window in the cast. This procedure allows the healthcare provider to assess the underlying skin and soft tissue for any signs of complications, such as swelling or pressure sores, which could be causing the pain. It can also relieve pressure from the cast, providing immediate comfort to the client.

Creating a window in the cast does not compromise the cast's overall effectiveness in immobilizing the injured area, provided it is done carefully. This approach aims to alleviate discomfort without fully removing the cast, which might be necessary if the situation requires direct intervention to address potential complications.

On the other hand, reapplying the cast tighter could worsen the pain if swelling is the issue, as increased pressure can lead to further complications. Administering pain medication may provide temporary relief, but it does not address the underlying cause of the pain. Removing the cast entirely is usually a last resort reserved for specific situations where continued immobilization is no longer feasible or safe.