A client with circumferential full thickness burns of both legs develops a decrease in dorsalis pedis pulse strength and numbness in the toes. Which action should the nurse take?

A. Monitor the pulses every 2 hours: While regular assessment of peripheral pulses is important, a decrease in pulse strength accompanied by numbness indicates acute vascular compromise. Waiting to monitor every 2 hours risks progression to ischemia and tissue necrosis. Immediate intervention is required rather than routine observation. B. Notify the health care provider: Circumferential full-thickness burns can cause compartment syndrome due to edema and restricted tissue expansion. Diminished dorsalis pedis pulses and sensory changes are early signs of neurovascular compromise. Prompt provider notification is critical, as an escharotomy or other emergent interventions may be necessary. C. Elevate both legs above heart level with pillows: Elevation can help reduce edema in some cases, but in circumferential burns, increased venous return may worsen ischemia if tissue pressure is high. Elevation alone does not relieve the compartment-like pressure caused by the eschar. D. Encourage the patient to flex and extend the toes on both feet: Active movement can promote circulation under normal circumstances, but in the presence of vascular compromise from circumferential burns, this may be ineffective or even cause pain and injury. Immediate medical intervention is required to prevent irreversible tissue damage.