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
5. Paresthesia of the foot
2. Pain not relieved by pain medication
4. Prolonged capillary refill time
5. Paresthesia of the foot
Rationale:
Pain that is not relieved by pain medication is a sign of compartment syndrome. A prolonged capillary refill time and paresthesia of the foot are signs of compartment syndrome. Pink, warm extremeties are a normal finding post–fracture reduction. A present dorsalis pedis pulse would be a normal finding post–fracture reduction.
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