Following trauma to the musculoskeletal or nervous system, complex regional pain syndrome may develop. The nurse would recognize this complication when what is assessed?
1. The patient complains of persistent pain, swelling, and decreased motion.
2. The patient's bone has not healed within the expected time period.
3. The patient complains of leg swelling, pain, tenderness, and cramping.
4. The patient complains of numbness beyond a cast, and toes are pale, with delayed capillary refill.
Correct Answer: 1
Complex regional pain syndrome (CRPS) is characterized by intense pain in the affected limb, as well as sensory, autonomic, motor, skin, and bone changes of the extremity. The failure of a fracture to heal within the usual time period is characteristic of nonunion or delayed union. Leg swelling, pain, tenderness, and cramping are symptoms of deep vein thrombosis. Numbness beyond a cast and toes that are pale with delayed capillary refill are symptoms of possible compartment syndrome.
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