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학습 자료 둘러보기 →Following a displaced femoral neck fracture, the highest nursing priority is serial neurovascular assessment of the affected extremity. This screens for acute compartment syndrome (ACS), a limb-threatening emergency.
The classic early sign of ACS is pain disproportionate to the injury that is unresponsive to analgesia. Assessment must include the 6 Ps: Pain, Pressure, Paresthesia, Pallor, Paralysis, and Pulselessness. A pulseless state is a late and ominous finding.
Do not rely solely on pain scores. A comprehensive neurovascular check comparing both limbs must be performed every 1-2 hours initially. Immediately report any change in sensation, motor function, or a loss of palpable pulses.
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