A nurse is assessing a child after an open reduction of a fractured femur. Which of the following are signs that compartment syndrome could be occurring? Select all that apply
1. Pink, warm extremity
2. Pain not relieved by pain medication
3. Dorsalis pedis pulse present
4. Prolonged capillary refill time with paresthesia
2, 4
Rationale:
1. Pink, warm extremity is a normal finding post–fracture reduction.
2. A prolonged capillary refill time with loss of paresthesia and pain not relieved by medication are signs of compartment syndrome.
3. A present dorsalis pedis pulse would be a normal finding post–fracture reduction.
4. A prolonged capillary refill time with loss of paresthesia and pain not relieved by medication are signs of compartment syndrome.
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