4. Following application of a cast to immobilize a closed fracture of the humerus, a client returns to an emergency department. A nurse suspects compartment syndrome when the client reports:
Select all that apply.
4. Following application of a cast to immobilize a closed fracture of the humerus, a client returns to an emergency department. A nurse suspects compartment syndrome when the client reports:
Select all that apply.
. Urine has become dark reddish-brown.
. Radial pulse in the arm is diminished.
. Swelling has decreased in the arm.
. Pain distal to the fracture site has increased.
. Oxycodone prescribed for pain is not working.
. Fingers distal to the fracture are warm.
Test-Taking Tip
Look for symptoms of ineffective circulation.
Content Area: Adult Health, Musculoskeletal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is correct because myoglobin is released from the damaged muscle and excreted in the urine, which makes it dark reddishbrown. Answer 2 is correct because circulation is decreased and radial pulse diminishes as intracompartmental pressure increases. Answer 3 is incorrect because a decrease in swelling would decrease intracompartmental pressure and symptoms. Answer 4 is correct because this is a characteristic symptom. A hallmark sign is when pain intensifies with passive range of motion. Answer 5 is correct because despite opioids the pain increases. Answer 6 is incorrect because increased intracompartmental pressure decreases circulation, so that fingers distal to the fracture would be cool, not warm.