A patient with a fractured lower leg is being assessed for neurovascular status. Which finding requires prompt reporting to the nurse in charge?
Correct answer: C. New inability to dorsiflex the foot
- A. Capillary refill of two seconds in the toes
- B. Warm skin with equal pedal pulses
- C. New inability to dorsiflex the foot
- D. Mild swelling around the fracture site
Explanation
New loss of movement may indicate nerve or muscle compromise and requires prompt assessment. Warm skin, normal refill and mild local swelling can occur after a fracture, but they must still be monitored regularly.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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