QLexNursing

🔴Pain report for left arm: Severe, persistent pain rated 9/10 that worsens with extension suggests possible neurovascular compromise or developing compartment syndrome, not simple soreness.

🔴New burning and tingling in fingers: Paresthesia (burning, tingling) is an early sign of nerve compression or compromised circulation, requiring rapid evaluation of neurovascular status.

🔴Rising vital signs (HR 108, RR 24, BP 150/90) reflect increasing pain and stress, and can indicate worsening condition, not adequate pain control from earlier ibuprofen.

🔴The combination of severe pain, paresthesia, and abnormal vitals after a limb was pinned under the body raises concern for compartment syndrome or nerve injury, which can lead to permanent damage if not promptly treated.

🔴Early recognition and reporting of these findings allows the provider to order urgent interventions (e.g., fasciotomy, further imaging, or enhanced pain management) to preserve limb function.

Client is tearful

🔴 Being tearful may reflect anxiety, fear, or pain, but by itself it is a less specific indicator than severe localized pain with neurological changes.

🔴 The priority is to address objective signs of limb compromise, not the emotional response alone, although emotional support is still important.

States left leg remains stiff and sore

🔴 Stiffness and soreness in the leg after a fall can be expected and are less urgent compared to intense arm pain and new neurological symptoms.

🔴 There are no signs of neurovascular compromise reported in the leg, so it is lower priority than arm findings.

X-ray results negative for fracture

🔴 Negative x-ray rules out a fracture, but does not rule out soft tissue, nerve, or compartment problems.

🔴 This finding does not require follow-up; the nurse should focus on the client’s current symptoms, not the normal imaging.