Question

The nurse performing a neurovascular check on a limb in traction would report and document which findings as indicative of altered circulation? Select all that apply.

A) Pale or bluish skin color
B) Warmth and slight swelling
C) Delayed capillary refill
D) Tingling or pins and needles sensation
E) Weak or absent peripheral pulses

Answer 1

A nurse performing a neurovascular check would report pale or bluish skin color, delayed capillary refill, tingling sensations, and weak or absent peripheral pulses as indicators of altered circulation in a limb in traction.

Step-by-step explanation:

The nurse performing a neurovascular check on a limb in traction would identify several findings as indicative of altered circulation. These signs play a critical role in assessing the adequacy of blood flow and nerve function to a limb. The concerning findings that should be reported and documented include:

• A) Pale or bluish skin color, which suggests a lack of oxygenated blood reaching the area.
• C) Delayed capillary refill, indicating poor blood flow to the extremities and potentially signaling ischemia.
• D) Tingling or pins and needles sensation, which could point to nerve compression or damage.
• E) Weak or absent peripheral pulses, which may signify an obstruction in arterial flow or severe vasoconstriction.

While warmth and slight swelling (option B) may be concerning in other contexts, they are not typically indicative of altered circulation in a limb in traction and can sometimes be a normal finding.