A patient wearing a long leg cast has assessment findings of compartment syndrome in the extremity. The nurse demonstrates understanding of the complication and its specific treatment by gathering which equipment?
1. Pillows to elevate the leg
2. A percussion hammer
3. Buck's traction equipment
4. Ace bandages
4
Rationale 1: Elevating the leg above the heart would compromise circulation.
Rationale 2: At this point the diagnosis has been made; further assessment is not indicated and would waste time.
Rationale 3: Buck's traction is not a priority in the current care of this patient.
Rationale 4: Compartment syndrome occurs when excess pressure in a limited space constricts the structures within a compartment, reducing circulation to muscles and nerves. With increased edema, this event threatens the viability of the limb and increases the risk of sepsis. Treatment can include removing the cast entirely or bivalving it (splitting it apart with a cast cutter) and securing the two sides with Ace wraps, tape, or Velcro straps.
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