Difficulty: Medium
Average Score: 76%
Simulated
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct answer
A
Rationale
A capillary refill of 6 seconds indicates poor blood flow, requiring immediate intervention to prevent tissue damage. Pain, slight fever, and drainage are concerning but less urgent.