A nurse is assessing a child after an open reduction of a fractured femur. Which assessment findings would indicate that the child is experiencing compartment syndrome?
1. Pink, warm extremity
2. Pain not relieved by pain medication
3. Dorsalis pedis pulse present
4. Prolonged capillary-refill time with paresthesia
5. Skin appears tense.
Correct Answer: 2,4,5
Rationale: The major serious complication post-fracture reduction is compartment syndrome. A prolonged capillary-refill time with loss of paresthesia, pain not relieved by medication, and skin that appears tense are signs of compartment syndrome. Pink, warm extremity; pain relieved by medication; and a present dorsalis pedis pulse would all be normal findings post-fracture reduction.
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