Which should the nurse include in the neurovascular assessment for an infant following casting of the leg for talipes equinovarus?
1. Warmth
2. Capillary refill
3. Pedal pulse
4. Sensation
5. Movement of the toes
1, 2, 4, 5
Explanation:
1. The temperature of the foot of the casted leg should be compared to the temperature of the other foot.
2. This indicates blood return to the tissues and is an important finding.
3. The pedal pulse cannot be reached in the casted foot.
4. Nerve function is evaluated by touching the toes and noting the child's response.
5. The child is encouraged to wiggle the toes. If the client is an infant, tickling will cause the child to respond with movement.
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