The nurse is caring for a school-age child recovering from an open reduction for a fractured femur. Which assessment findings indicate that the child is developing an infection? (Select all that apply.)
A) Lethargy
B) Increased pulse rate
C) Reduced pulse in the ankle
D) Cyanosis of the casted foot
E) Increased body temperature
A, B, E
Feedback:
Children with an open reduction are prone to infection. The nurse should suspect an infection if the systemic symptoms of increased pulse, increased temperature, and lethargy are present. Reduced pulse in the ankle and cyanosis of the casted foot are manifestations of compartment syndrome.
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