What assessment should be performed before and after immobilization of an extremity?

• A. Circulation
• B. Sensory and Motor Function
• C. Circulation, Sensory and Motor Function
• D. Pain level

Answer: (C)

Before and after immobilizing an extremity, you assess the limb’s neurovascular status by looking at circulation, sensory function, and motor function. Circulation means checking distal pulses, capillary refill, and the skin’s color and temperature to ensure blood is getting to the area. Sensory function involves testing sensation to light touch, pinprick, and vibration and noting any numbness, tingling, or altered sense. Motor function is about evaluating whether the patient can move the joints and how strong those movements are, such as bending and straightening fingers or toes, or moving the ankle or wrist.

Rechecking these areas after immobilization helps detect any decline that could indicate problems like restricted blood flow or nerve compression, allowing prompt intervention. Pain level alone isn’t enough to gauge viability, since pain can be present without changes in circulation or nerve function. Always document baseline findings and compare them after immobilization to catch any evolving issues early.