A nurse is assessing a child after an open reduction of a fractured femur. Which signs indicate that compartment syndrome could be occurring? Standard Text: Select all that apply
1. Pink, warm extremity
2. Dorsalis pedis pulse present
3. Prolonged capillary refill time
4. Pain not relieved by pain medication
5. Paresthesia of the leg
3,4,5
Rationale 1: Pink, warm extremity is a normal finding post-fracture reduction.
Rationale 2: A present dorsalis pedis pulse would be a normal finding post-fracture reduction.
Rationale 3: A prolonged capillary refill time is a sign of compartment syndrome.
Rationale 4: A prolonged capillary refill time with loss of paresthesia and pain not relieved by medication are signs of compartment syndrome.
Rationale 5: Paresthesia is tingling and numbness of the affected extremity and is a sign of compartment syndrome.
Global Rationale:
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