The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome (Select all that apply)?
a. Palpable distal pulse
b. Capillary refill to extremity of <3 seconds
c. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity
ANS: C, D, E
Indications of compartment syndrome are severe pain not relieved by analgesics, tingling of extremity, and inability to move extremity. A palpable distal pulse and capillary refill to the extremity of <3 seconds are expected findings.
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