Final answer:
In the case of Allison's fractured left tibia, the nurse should assess skin color, pain, pulses distal to the fracture, paresthesia, and paralysis proximal to the fracture to ensure comprehensive evaluation and determine if there are any complications.
Step-by-step explanation:
When assessing a patient like Allison who has fractured her left tibia, a nurse should evaluate several key areas to determine the extent of the injury and check for potential complications. Specifically, the assessments should include:
- Skin color distal to the fracture, to check for signs of proper blood circulation or potential compromise.
- Pain in the extremity, as this could indicate the extent of the injury and the presence of additional complications.
- Pulses distal to the fracture, to ensure there is adequate blood flow beyond the point of injury which could affect healing and limb function.
- Paresthesia proximal to the fracture, to check for sensory nerve impairment which could signal nerve damage associated with the fracture.
- Paralysis proximal to the fracture, to evaluate for motor nerve damage or other neurological impairments.
Assessing these areas is crucial for optimal patient care following a tibia fracture to avoid potential complications such as compromised circulation, nerve damage, and to monitor for signs of healing and infection. Proper assessment can also guide further treatment decisions and the need for potential interventions.