Question

a nurse is collecting data from a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. which the following findings should the nurse report to the provider?
toes cold to the touch
serous drainage from the pin sites
blanching of the toenail beds with pressure
pink tissue around the fixator insertion sites

Explanation:

To determine the finding to report, analyze each option:

• "Toes cold to the touch" may indicate impaired circulation, a critical issue post - tibial fracture surgery (e.g., due to compartment syndrome or vascular compromise), requiring immediate provider notification.
• "Serous drainage from pin sites" is normal in the early postoperative period (serous fluid is a normal exudate).
• "Blanching of toenail beds with pressure" is a normal finding (capillary refill, indicating adequate circulation when color returns quickly).
• "Pink tissue around fixator insertion sites" indicates normal healing (granulation tissue or healthy tissue).

Answer:

Toes cold to the touch