Which finding most strongly suggests acute compartment syndrome rather than ordinary postoperative swelling?
Correct answer: B. Pain with passive stretching of the affected muscles
- A. Mild swelling that improves after limb elevation
- B. Pain with passive stretching of the affected muscles
- C. Bruising around the operative wound
- D. Slight warmth near the surgical incision
Explanation
Severe pain with passive muscle stretching is an early and important sign of compartment syndrome. Ordinary postoperative swelling usually causes mild discomfort and improves with elevation. The nurse should report this finding urgently because tissue perfusion may be threatened.
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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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