An infant returns to the unit following casting of the leg for talipes equinovarus. Standing orders include monitoring the neurovascular status
In addition to color, for what will the nurse monitor the infant's foot? Standard Text: Select all that apply. 1. Warmth
2. Capillary refill
3. Pedal pulse
4. Sensation
5. Movement of the toes
1,2,4,5
Rationale 1: The temperature of the foot of the casted leg should be compared to the temperature of the other foot.
Rationale 2: This indicates blood return to the tissues and is an important finding.
Rationale 3: The pedal pulse cannot be reached in the casted foot.
Rationale 4: Nerve function is evaluated by touching the toes and noting the child's response.
Rationale 5: The child is encouraged to wiggle the toes. If the patient is an infant, tickling will cause the child to respond with movement.
Global Rationale:
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