The nurse is concerned that a client who had an open reduction, internal fixation of his tibia and fibula is at risk for complex regional pain syndrome. What assessment findings at the affected area are common when a client has this complication? Select all that apply.
A. Dull, aching pain
B. Decrease in sweating
C. Muscle spasms
D. Skin discoloration
C, D, E and F
Muscle spasms, skin discoloration, paresis, and edema are all manifestations that present in complex regional pain syndrome.
The client experiencing this syndrome would have intense, unrelenting, burning pain rather than dull, aching pain, as well as excessive (not decreased) sweating due to dysfunction of the autonomic nervous system.