Which finding in a patient with a Colles' fracture of the left wrist is most important to communicate to the health care provider?
a. Swelling is noted around the wrist.
b. The patient is reporting severe pain.
c. The wrist has a deformed appearance.
d. Capillary refill to the fingers is prolonged.
ANS: D
Swelling, pain, and deformity are common findings with a Colles' fracture. Prolonged capillary refill indicates decreased circulation and risk for ischemia. This is not an expected finding and should be immediately reported.
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