In a postoperative orthopedic patient, which sign necessitates immediate nurse intervention?

Persistent numbness in distal extremities is a critical sign that requires immediate intervention from the nurse. This symptom can indicate compromised nerve function or impaired blood flow to the distal areas. In an orthopedic patient, especially following surgery, numbness may be a sign of complications such as nerve injury, vascular obstruction, or compartment syndrome. Compartment syndrome, in particular, is a medical emergency that can cause irreversible damage to nerves and muscles if not addressed quickly. Assessing and addressing this symptom promptly is vital to prevent long-term disability.

Although increased pain, swelling, bruising, and minor bleeding may warrant attention or assessment, they do not typically signify the same level of urgency. Increased pain at the surgical site could be normal postoperatively as the surgical area heals; similarly, swelling and bruising can occur after orthopedic procedures, particularly if there is associated soft tissue trauma. Minor bleeding from the incision is often monitored and evaluated but may not require immediate intervention unless it becomes severe or is accompanied by other concerning symptoms. Thus, persistent numbness stands out as a potential crisis that must be acted upon without delay.