Which clinical manifestation is concerning for compartment syndrome in a patient with a fracture?

: Stress fractures are small, hairline cracks in the bone that occur due to repetitive stress or overuse. They typically present with a gradual onset of localized pain that worsens with activity.

a. Severe pain and deformity: Severe pain and deformity are more commonly seen in acute fractures resulting from trauma or high-impact injuries, not stress fractures.
b. Sudden onset of swelling and bruising: Sudden onset of swelling and bruising is more indicative of acute fractures, not stress fractures.
d. Inability to bear weight on the affected limb: Inability to bear weight may be present in some fractures, but it is not a specific characteristic of stress fractures.

Before moving or handling the affected limb, the nurse must assess for any signs of neurovascular compromise, such as changes in pulses, capillary refill, sensation, and motor function. This assessment helps identify potential vascular or nerve injuries and guides appropriate care to prevent complications.

a. Explaining the importance of immobilization to the patient is important but is not directly related to assessing for neurovascular compromise before moving the limb.

b. Applying a splint or cast to the affected limb is typically done after the initial assessment and diagnosis of the fracture, not before handling the limb.

d. Administering analgesics for pain relief is important, but it does not directly relate to assessing for neurovascular compromise before moving the limb.