right tibial fracture treated with a cast 2 hours ago. the client now reports unrelenting pain, rated as 7/10, despite taking oxycodone, and decreased sensation in the right foot. a nursing assessment reveals the right foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.

Question

19-12-2022
Medicine

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right tibial fracture treated with a cast 2 hours ago. the client now reports unrelenting pain, rated as 7/10, despite taking oxycodone, and decreased sensation in the right foot. a nursing assessment reveals the right foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.

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RajarshiG RajarshiG · Answer 1 · 2022-12-21T10:51:25-05:00

Based on the information provided, the nurse should assess the client for compartment syndrome.

Compartment syndrome is a condition that occurs when a compartment of the body is compressed due to swelling, bleeding, or other causes, resulting in decreased circulation and decreased sensation. The nurse should check the client's pulses and sensation in the affected area, and compare to the opposite side. If the client has decreased sensation and decreased pulses in the affected area, the nurse should alert the provider immediately, as this can be a sign of compartment syndrome. Treatment for compartment syndrome may include surgery to provide relief from the pressure and restore circulation to the affected area.

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