A patient with a tibial fracture reports severe pain that is not relieved by analgesics. The lower leg is tense, and passive toe movement causes marked pain. Which complication should the nurse suspect?
Correct answer: B. Acute compartment syndrome
- A. Fat embolism syndrome
- B. Acute compartment syndrome
- C. Venous stasis from bed rest
- D. Simple muscle soreness from the fracture
Explanation
Pain out of proportion, a tense compartment, and pain on passive stretch strongly suggest acute compartment syndrome. It threatens tissue perfusion and requires urgent assessment, not reassurance or routine observation.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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