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Complications of Fractures

A 50-year-old construction worker is admitted to the emergency department 6 hours after sustaining a closed fracture of the right tibia and fibula from a fall. The patient reports severe, unrelenting pain in the right lower leg that is not relieved by prescribed analgesics. On assessment, the nurse notes the patient's right foot is pale, cool to touch, and capillary refill is 4 seconds. The patient states he cannot feel his toes and is unable to dorsiflex his foot. What is the nurse's priority action?

The nurse is caring for a patient with a tibial fracture who is developing signs of compartment syndrome.
해설
The patient shows signs of compartment syndrome (pain, pallor, paresthesia, paralysis), a surgical emergency requiring immediate fasciotomy to prevent tissue damage. Other options 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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