What is the initial nursing action for a client who reports increased pain after a long leg cast application?

The initial nursing action for a client who reports increased pain after the application of a long leg cast is to check the neurovascular status of the toes. This step is crucial because increased pain post-cast application could indicate complications such as compartment syndrome or impaired circulation, which are serious concerns that require immediate assessment.

By checking the neurovascular status, the nurse assesses the circulation, sensation, and movement of the toes. This may include looking for signs of swelling, discoloration, and checking the capillary refill time. If there are signs of decreased blood flow or nerve function, it can point to a serious issue requiring urgent intervention.

While administering pain medication, applying ice, or contacting the healthcare provider may be appropriate actions later on, they do not address the immediate need to assess the client's neurovascular status first. Ensuring that the limbs are still receiving adequate circulation and function is the priority before any further actions are taken.