VATI PN Comprehensive Predictor 2020 Proctored Exam
A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?
Explanation & Rationale
A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the affected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels. The other options are not typical symptoms of compartment syndrome. a) An affected extremity being warm to touch is not a typical symptom of compartment syndrome. c) A blanch time of 2 seconds in the toenail beds of the affected extremity is not a typical symptom of compartment syndrome. d) Palpation of a +1 dorsal pedal pulse of the affected extremity is not a typical symptom of compartment syndrome.
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