In a patient with a compound fracture, which action should the nurse prioritize?

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In a patient with a compound fracture, prioritizing the assessment of circulation in the limb is critical. A compound fracture, characterized by an open wound where the broken bone pierces through the skin, poses significant risks, including infection and compromised blood flow. Assessing circulation helps determine if there is adequate blood supply to the affected area and can identify potential complications such as compartment syndrome or vascular injury.

Checking circulation involves evaluating the pulse, capillary refill time, and sensation in the limb. This assessment informs the healthcare team of the urgency of the situation and guides further interventions. Early detection of circulation issues can lead to timely treatment, which is essential in preserving limb function and preventing serious complications.

While applying a dressing, administering pain medication, and preparing for surgery are also important aspects of care, they must follow the immediate need to ensure that circulation is stable. Prompt circulation assessment can dictate whether further procedures, such as surgical intervention, are necessary to restore blood flow and address any additional injuries sustained from the fracture.

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