Chapter 62 Musculoskeletal Trauma and Orthopedic Surgery
Which signs and symptoms would the nurse find in a patient with compartment syndrome?
-1+ pulses -Pain not relieved by morphine -Tingling sensation of the fingers
Which manifestation can be seen in a patient with a third-degree back strain?
Complete loss of function
Which injuries are susceptible to compartment syndrome?
-Upper arm fracture -Third-degree ankle strain
When caring for a patient with a right leg fracture, the patient reports pain not relieved by analgesic and tingling of the toes. The nurse also notes diminished pedal pulses and swelling above the dressing. Which action should the nurse take?
Loosen the dressing
A patient with an upper arm fracture is diagnosed with compartment syndrome. After the health care provider cuts the cast, the nurse notes continued swelling, absent radial pulse, pallor, and cool skin. Which initial action should the nurse take?
A patient presents with bilateral leg pain, abdominal pain, and difficulty breathing after a motor vehicle accident. The nurse notes obvious deformities to the bilateral lower legs, bruising to the chest, and abrasions on the chest, abdomen, and arms. Which actions should the nurse perform while assessing the severity of the patient’s injuries? Select all that apply.
-Auscultate lung sounds -Assess peripheral pulses -Assess capillary refill time
While caring for a patient after a third-degree ankle sprain, the nurse notes the patient can bear weight on the affected foot without discomfort. Which actions would the nurse consider?
-Teach strengthening exercises for the ankle -Assess neurovascular status of affected extremity