Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm?
a. The degree of motion and ability to position the extremity.
b. The length, diameter, and shape of the extremity.
c. The amount of swelling noted in the extremity and pain intensity.
d. The skin color, temperature, movement, sensation, and capillary refill of the extremity.
ANS: D
A neurovascular evaluation includes assessing skin color and temperature, ability to move the affected extremity, degree of sensation experienced, and speed of capillary refill in the extremity. The degree of motion in the affected extremity and ability to position the extremity are incomplete assessments of neurovascular competency. The length, diameter, and shape of the extremity are not assessment criteria in a neurovascular evaluation. Although the amount of swelling is an important factor in assessing an extremity, it is not a criterion for a neurovascular assessment.
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