A nurse is assisting in the care of a client who is in the emergency department (ED) following a ski accident. The nurse is assisting in the plan of care for the client who has compartment syndrome. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

• Place the client on NPO status: Clients with compartment syndrome often require emergent surgical intervention, such as a fasciotomy. Keeping the client NPO ensures safety in case anesthesia is needed for immediate surgery. • Obtain a urinalysis: Compartment syndrome can lead to rhabdomyolysis and myoglobinuria, which can damage the kidneys. A urinalysis helps detect myoglobin in the urine and guides interventions to prevent acute kidney injury. • Place the client's right leg in a dependent position: Lowering the affected limb increases pressure within the compartment, worsening ischemia and tissue damage. The limb should be kept at heart level or slightly elevated to optimize perfusion without increasing pressure. • Open the splint: Removing the splint or cast without surgical or provider guidance can worsen tissue swelling and damage, as well as increase the risk of further injury. Immediate provider assessment is required before altering immobilization.