The nurse performing a neurovascular assessment of the patient in skeletal traction assesses the abnormal sign of:
1. delayed capillary refill.
2. bilateral equal pulses.
3. absence of pain and swelling.
4. area is same color as unaffected side.
1
Delayed capillary refill reflects possible impaired tissue perfusion.
PTS: 1 DIF: Cognitive Level: Application REF: 920
OBJ: 5, 6 TOP: Traction KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
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