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    Ati pn paediatrics nursing proctored exam 2023

    A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur. Exhibits For each finding click to specify whether the finding indicates no change in the child's condition or is a sign of potential worsening condition.

    Explanation & Rationale

    Findings No changes in condition Sign of potential worsening Skin temperature ✓ Capillary refill ✓ Pedal pulse ✓ Sensation ✓ Swelling ✓ Skin temperature: The left toes are now cool to touch, indicating a potential worsening condition. Capillary refill: Capillary refill greater than 3 seconds suggests compromised circulation, indicating a potential worsening condition. Pedal pulse: A pedal pulse of 1 in the left leg indicates decreased blood flow, suggesting a potential worsening condition. Sensation: The sensation of pins and needles in the left foot indicates potential nerve involvement, suggesting a potential worsening condition. Swelling: The swelling of the left toes remains unchanged, indicating no change in the condition.

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