A nurse is assessing a child after an open reduction of a fractured femur. A sign that compartment syndrome could be occurring would be:
1. A pink, warm extremity.
2. Pain relieved by pain medication.
3. Dorsalis pedis pulse present.
4. Prolonged capillary refill time with loss of paresthesia.
4
Rationale:
1. A pink, warm extremity would be a normal finding after fracture reduction.
2. Pain relieved by medication would be a normal finding after fracture reduction.
3. A present dorsalis pedis pulse would be a normal finding after fracture reduction.
4. The major serious complication post–fracture reduction is compartment syndrome. A prolonged capillary refill time with loss of paresthesia is a sign of compartment syndrome.
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