Among four clients with increased pain, which requires immediate intervention by the nurse?

• A. Pain in a toe after a minor injury
• B. Headache relieved by rest
• C. Sharp pain related to a crushed femur
• D. Mild abdominal cramps

Answer: (C)

A severe crushing injury to a femur is a red flag for potential life- or limb-threatening complications, so it requires immediate nurse intervention. A crushed femur can cause extensive tissue damage, significant bleeding, and risk of shock. It also raises concern for compartment syndrome, where swelling and pressure within the muscle compartments can quickly threaten nerves and blood flow; delaying treatment can lead to permanent damage or loss of the limb. Because of these risks, the nurse should act right away to assess neurovascular status (pulse, perfusion, sensation, movement), immobilize the limb to prevent further injury, control any bleeding if present, monitor for signs of shock, and arrange rapid transport to a higher level of care.

The other scenarios reflect less urgent situations. Pain in a toe after a minor injury and a headache that improves with rest are typically manageable with basic comfort measures and monitoring. Mild abdominal cramps are usually non-emergent unless accompanied by worsening symptoms or systemic instability. The key point is recognizing that a crushed femur carries immediate danger that requires swift, definitive intervention.