Trauma Nurse Core Course (TNCC) Practice Exam

A patient with a lower extremity fracture complains of severe calf pain minimally relieved by medications. What is the priority intervention?

1. Elevating the extremity above the level of the heart

2. Repositioning and apply ice

3. Elevating the extremity to the level of the heart

4. Preparing the patient for ultrasound

The correct answer is: Elevating the extremity to the level of the heart

In the context of a patient with a lower extremity fracture who is experiencing severe calf pain, prioritizing an intervention that provides both pain relief and optimal blood flow is essential. Elevating the extremity to the level of the heart can help reduce swelling and improve venous return, which is critical in managing pain associated with fractures. This position also facilitates circulation to the affected area, potentially alleviating discomfort due to pressure or inflammation. Other options may offer benefits but do not address the immediate need for pain management and vascular support in the same effective way. For instance, while elevating the extremity above the level of the heart could reduce swelling, it might not adequately address immediate pain relief. Repositioning and applying ice can help as well, but it may not provide substantial or quick relief compared to elevating the leg. Preparing the patient for ultrasound is important for further evaluation but does not address the acute symptom of severe calf pain. Prioritizing elevation to the level of the heart addresses both the underlying issue of potential edema and the immediate discomfort the patient is facing.