A 45-year-old construction worker sustained a closed fractur… | 마이메르시 MyMerci
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Complications of Fractures

A 45-year-old construction worker sustained a closed fracture of the right tibia and fibula in a fall from scaffolding. Twelve hours post-injury, the patient reports severe, unrelenting pain in the right lower leg that is not relieved by prescribed opioid analgesics. The nurse notes the patient's right foot is pale, cool to touch, and capillary refill is 4 seconds. Dorsalis pedis and posterior tibial pulses are weak. What is the priority nursing intervention?

해설
Compartment syndrome is a surgical emergency requiring immediate fasciotomy to prevent permanent tissue damage. The patient's signs (severe unrelenting pain, pallor, coolness, delayed capillary refill, weak pulses) indicate compromised circulation. Other interventions like elevation, ice, or more pain meds are contraindicated as they can worsen ischemia.
같은 주제 다음 문제A nurse is assessing a 32-year-old patient who sustained a closed tibia fracture 36 hours …이 문제가 수록된 문제집[개념+기출] 엔클렉스(NCLEX), 이거 하나면 됩니다69,000원
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