Which clinical manifestation is concerning for compartment syndrome in a patient with a fracture?
Bruising and discoloration at the fracture site
Mild pain and swelling in the affected limb
Prolonged capillary refill distal to the fracture
Severe pain, pallor, and loss of pulses distal to the fracture
The Correct Answer is D
Severe pain, pallor (pale skin color), and loss of pulses distal to the fracture are concerning signs of compartment syndrome, a serious complication that requires immediate medical intervention.
a. Bruising and discoloration at the fracture site: Bruising and discoloration are common signs of inflammation and injury at the fracture site but are not specific to compartment syndrome.
b. Mild pain and swelling in the affected limb: Mild pain and swelling are expected with a fracture but do not raise immediate concerns for compartment syndrome.
c. Prolonged capillary refill distal to the fracture: Prolonged capillary refill time may indicate reduced blood flow but is not as concerning as the combination of severe pain, pallor, and loss of pulses seen in compartment syndrome.
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Related Questions
Correct Answer is B
Explanation
Regular exercise is not considered a risk factor for fractures. In fact, regular exercise, especially weight-bearing activities, can help improve bone density and reduce the risk of fractures.
a. Advanced age: Advanced age is a significant risk factor for fractures, as bone density tends to decrease with age, making bones more susceptible to fractures.
c. Osteoporosis: Osteoporosis is a condition characterized by low bone density and increased risk of fractures, particularly in postmenopausal women and older adults.
d. History of previous fractures: Having a history of previous fractures is considered a risk factor, as it may indicate underlying bone fragility and susceptibility to future fractures.
Correct Answer is B
Explanation
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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