The nurse performs a focused assessment on a client who had an open reduction internal fixation of a tib fib feature. The client reports increasing pain that is not responding to pain medication. Which of the following nursing interventions should be implemented?
1) Elevate the extremity above the level of the heart
2) Offer oral pain meds
3) Perform a peripheral neurovascular exam
4) Loosen circumferential dressing
5) Notify the surgeon