Identify the best measure the nurse can take to limit the complications of a client who is developing compartment syndrome after a splint is applied to a fractured ankle.
A)Remove the splint, clothing, socks, and other external sources of pressure.
B)Assess the pulses and skin color every 2 hours.
C)Make sure the ankle is below the level of the heart.
D)Apply ace bandages to the foot to decrease the swelling.

Question

Quizplus · Accepted Answer

Compartment syndrome occurs when pressure within a muscle compartment increases and restricts blood supply to the tissues within. Removing the external sources of pressure (in this case, the splint, clothing, and socks) can decrease the pressure within the compartment and promote blood flow. Assessing pulses and skin color can help identify changes in blood supply, but removing the constricting pressure is the most effective measure to limit further complications. Elevating the ankle above the level of the heart and applying ace bandages may be helpful in reducing swelling, but they do not address the underlying issue of high compartment pressure.

Identify the Best Measure the Nurse Can Take to Limit