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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    A nurse is monitoring a client's lower extremity following the placement of a cast earlier in the day. Which of the following findings should the nurse identify as manifestations of compartment syndrome? (Select all that apply.)

    Explanation & Rationale

    A. Sensation of tingling: Tingling or paresthesia is an early sign of nerve compression from increased compartment pressure. It indicates impaired circulation and nerve function, which are key manifestations of compartment syndrome. B. Pain relieved by analgesia: In compartment syndrome, pain is often severe, persistent, and not relieved by analgesics. Relief with medication suggests typical postoperative discomfort rather than the pathological pressure buildup of compartment syndrome. C. Decreased skin turgor: Dehydration affects skin turgor but is not a manifestation of compartment syndrome. Skin turgor changes are unrelated to increased intracompartmental pressure. D. Diminished capillary refill: Impaired perfusion from elevated compartment pressure can slow capillary refill, signaling compromised circulation to distal tissues. This is a critical clinical indicator requiring prompt intervention. E. Pale-colored toes: Pallor in the toes reflects reduced arterial blood flow distal to the affected compartment. It is a hallmark sign of ischemia associated with compartment syndrome.

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