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    Ati lpn med surg level 2 test 5 proctored exam

    A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

    Explanation & Rationale

    A. Pain unrelieved by routine medications: Rationale: This is a hallmark symptom of compartment syndrome, which is a surgical emergency. The pain is often out of proportion and unrelieved by analgesics. B. Elevated WBC count: Rationale: This may indicate infection but is not specific to compartment syndrome. C. Swelling and redness of the right leg: Rationale: While these may occur in compartment syndrome, they are nonspecific and can be seen in other post-op conditions like infection or DVT. D. Decreased oxygen saturation: Rationale: This is a systemic sign that may indicate respiratory compromise but is not a reliable or early indicator of compartment syndrome.

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