Following a fall with ankle edema, what is the priority nursing action?

• A. Apply ice packs
• B. Perform a neurovascular assessment
• C. Elevate the leg
• D. Administer analgesic

Answer: (B)

The priority is to assess the limb’s neurovascular status right after the fall. Checking blood flow and nerve function immediately helps detect urgent problems such as fracture, dislocation, or evolving compartments where circulation or sensation could be compromised. In practice, assess distal pulses, skin color and temperature, capillary refill, and compare sensation and movement with the other leg. If you find weak or absent pulses, numbness, tingling, or disproportionately increasing pain, notify the clinician right away because these signs can indicate a limb-threatening issue. If the neurovascular status is intact, you can then address swelling and comfort with elevation, ice, and analgesia, but those steps come after ensuring the limb isn’t showing signs of urgent vascular or nerve compromise.