💊 NCLEX-RN Exam Prep

The nurse is performing a neurovascular assessment on a client with a new cast applied to the right forearm due to a fracture. Which finding would be most indicative of compartment syndrome?

A Capillary refill of 3 seconds.
B Report of severe pain unrelieved by opioid analgesics.
C Mild swelling of the fingers.
D Ability to move fingers with slight discomfort.

✓ Correct Answer: Option B

Severe pain unrelieved by analgesics, especially pain that intensifies with passive stretching of the affected muscles, is a hallmark sign of compartment syndrome. This is a surgical emergency that can lead to permanent tissue damage.

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