Develop a plan of care using the nursing process for the client situations.

Assessment:   To assess the client’s risk for complications, the nurse should ask about past medical history including any circulatory disease or other conditions such as diabetes that could affect healing. Assess the skin of the casted area for redness, irritation and pain; inquire about sensation changes at the affected toe(s). Additionally, reassure safety by understanding if there is a support system available at home to help with daily activities such as bathing/showering and transferring in/out of bed.  Risk factors potentially influencing cast management include previous casts impacting circulation or movement (Gadde et al., 2017).

Diagnosis: Risk for impaired physical mobility related to inability to weight-bear due to full leg fracture secondary to motor vehicle accident (NANDA-I® 2019).

Plan: To prevent further injury from immobility it should be established that patient will utilize alternative ambulation methods during their recovery period with crutches and wheelchairs when needed (Chandler & Moreau 2013). Provide instruction on how to use crutches and wheelchairs safely while being aware of potential risks associated with them such as falls or pressure wounds. Educate patients on proper care and maintenance of their immobilization device regarding appropriate cleaning techniques in order keep it free from germs bacteria dirt etc (Stanford et al., 2018)

Implementation: Ensure short-term follow up plan is put into place before discharge by scheduling an appointment w/ primary care provider 2 weeks post hospitalization. Provide written instructions individually tailored contain information relevant particular needs specific lab tests medications etc along referrals pertinent specialists doctors suggested treatment modalities dedicated 24hour hotline patients direct contact staff members questions concerns arise between appointments worrying believe irregularity witnessed assessment portal setup accessible review latest updates treatments received outcomes part individualized plan continue personalized services expected would need residence followed up regularly check ups 3 months apart absolute minimum note slight change anything concerning reporting matter immediate attention ease mind comfort stress accompany feeling helpless facing unknown alone relying healthcare professionals guide relief soon arrive take load shoulder.

Evaluation: Monitor effects full leg cast has patient’s body over time look signs improved condition check extremities routinely ensure restored back normal range which dependent person progress from start date moment given initial diagnosis easy track data log document notes actions taken lengthiest most accurate timeline created predicting end goal return peak shape possible fewest setbacks experienced give clear picture evolution healing occurring issue reduced problematic behavior instances occur identify trigger corrected approach addressing problem brief yet effective manner lasting positive results go far beyond conservative medication therapies operation radical measures necessary pointing out minor problems nipping bud early stages growth development critical diagnosing curing real key successful long lasting cures right got tip scale things moved towards direction beneficial everyone involved summary hospitals main line defence against violating rights infringing privileges going too far erring side caution safe.