A 36-year-old male is admitted to the hospital after sustain…
A 36-year-old male is admitted to the hospital after sustaining a left femur fracture after falling off a roof while hanging Christmas lights. Orthopedic surgery is planned for tomorrow morning. Around 11 PM, the AGACNP is called by the surgical floor nurse, who reports she has given the patient IV pain medication, but he is still complaining of intense pain. The AGACNP examines the patient and notes that the left thigh is tense, swollen, and firm to the touch. He is unable to plantarflex the foot, and flexion of the knee is very limited. There is diminished sensation to the plantar surface of the foot and a decreased dorsalis pedis pulse compared to the right leg. Vitals: BP 167/89, RR 30, Pulse 125, O2 94% on room air, Temp 99.1F What is the most appropriate action by the AGACNP?