Which finding is NOT consistent with a client having a musculoskeletal injury?

A persistent severe headache is not a finding typically associated with a musculoskeletal injury. Musculoskeletal injuries primarily affect the muscles, bones, and joints, and common signs include localized pain, swelling, bruising (like ecchymosis), and changes in weight-bearing status. A headache, especially one that is persistent and severe, may suggest a different underlying condition, such as a neurological issue, rather than a musculoskeletal problem.

Other findings like partial weight-bearing can indicate that the person is trying to protect an injured area while still attempting to mobilize, which is often seen in cases of fractures or sprains. Ecchymosis is a result of bleeding underneath the skin, which is common in soft tissue injuries associated with musculoskeletal trauma. Capillary refill less than 3 seconds indicates good blood flow and peripheral perfusion, which is typically expected unless there is significant damage.

Thus, the presence of a severe, persistent headache distinguishes it from findings typically observed in musculoskeletal injuries.