Free BCEN Certified Emergency Nurse (CEN) Practice Question

The most appropriate next step in managing this patient's condition is an immediate surgical consultation for fasciotomy. This patient is showing signs of acute compartment syndrome, which is characterized by increased pressure within a muscle compartment that can impair circulation and cause muscle and nerve damage. Immediate intervention is critical to release the pressure and prevent permanent damage. Measuring compartment pressures might support the diagnosis but does not address the urgency of surgical intervention. Administering additional analgesia might help in managing pain but does not treat the underlying compartment syndrome. Reassessment in several hours could lead to worsening of the condition and is inappropriate given the current signs and symptoms.