The nurse assesses the client’s burned right arm and notes increasing edema, absence of a radial pulse, and decreased sensation in the fingers. What should be the nurse’s priority response（）
A. Document findings and recheck in 1 hour.
B. Elevate extremity on one pillow.
C. Implement passive range-of-motion exercises.
D. Notify the physician immediately.
参考答案：D
解析：
The absence of a pulse, decreased sensation in the extremity, and increasing edema are all indicative of compromised neurovascular status due to compartment syndrome. Loss of pulse or sensation must be reported immediately to the physician. An escharotomy or fasciotomy may need to be performed to release pressure in the extremity. Other assessments to note include the temperature, capillary refill time, and movement or increasing pain of the affected extremity.