For a 2-year-old client with a fractured femur, what is the priority assessment for the nurse?

When caring for a 2-year-old client with a fractured femur, assessing the affected leg distal to the fracture is essential because this area is crucial for evaluating circulation and neurological function. The distal part of a limb must be monitored to identify any signs of compromised blood flow, such as color changes, temperature variations, and capillary refill time, as well as sensation and motor function. This assessment helps in detecting complications, such as compartment syndrome or damage to nerves and blood vessels, which can occur as a result of the fracture.

In pediatric patients, especially young children, these assessments are vital for ensuring that complications are addressed promptly, thereby reducing the risk of long-term damage. Moreover, due to the child's size and developmental stage, the ability to communicate symptoms can be limited, making careful observation and clinical assessment even more critical.