Physiological Adaptation NCLEX RN Related

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The nurse, caring for a client who has been placed in Buck's extension traction while awaiting surgical repair of a fractured femur, should perform a complete neurovascular assessment of the affected extremity that include which interventions? Select all that apply.

  • A. Vital signs
  • B. Bilateral lung sounds
  • C. Pulse in the affected extremity
  • D. Level of pain in the affected leg
  • E. Skin color of the affected extremity
  • F. Capillary refill of the affected toes
Correct Answer: C,D,E,F

Rationale: A complete neurovascular assessment of an extremity includes color, sensation, movement, capillary refill, and pulse of the affected extremity. Options 1 and 2 are not related to neurovascular assessment.