A client with a left arm fracture reports severe, diffuse pain unrelieved by analgesics. What should the nurse do?

A client with a left arm fracture reports severe, diffuse pain unrelieved by analgesics. What should the nurse do?

• A. Notify the registered nurse.
• B. Call the physician directly
• C. Increase analgesic dose without consult
• D. Apply heat to the area

Answer: (A)

Severe, unrelieved pain after a fracture can signal a serious complication such as compartment syndrome, where swelling compromises nerves and blood flow. The best immediate action is to notify the registered nurse so they can perform a focused neurovascular assessment and determine whether urgent physician involvement or a rapid-response is needed. Increasing the analgesic dose without an order or applying heat wouldn’t address the underlying issue and could mask or worsen the problem. In the meantime, perform ongoing neurovascular checks (pulses, sensation, movement, cap refill), keep the limb immobilized and at heart level, remove any constrictive items, and document the patient’s pain and findings. Prompt escalation helps ensure timely evaluation and treatment.

Severe, unrelieved pain after a fracture can signal a serious complication such as compartment syndrome, where swelling compromises nerves and blood flow. The best immediate action is to notify the registered nurse so they can perform a focused neurovascular assessment and determine whether urgent physician involvement or a rapid-response is needed. Increasing the analgesic dose without an order or applying heat wouldn’t address the underlying issue and could mask or worsen the problem. In the meantime, perform ongoing neurovascular checks (pulses, sensation, movement, cap refill), keep the limb immobilized and at heart level, remove any constrictive items, and document the patient’s pain and findings. Prompt escalation helps ensure timely evaluation and treatment.