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An nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. What is included in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)

Choice A reason: Joint pain with swelling is the correct answer, because it is a common symptom of SLE. SLE is a chronic autoimmune disease that causes inflammation and damage to various organs and tissues, such as the skin, joints, kidneys, heart, and blood vessels. Joint pain with swelling is caused by the inflammation of the synovial membrane that lines the joints, which can lead to stiffness, reduced mobility, and deformity.

Choice B reason: Intense wrinkles is not the correct answer, because it is not a symptom of SLE. Intense wrinkles are a cosmetic issue that affects the appearance of the skin, not the function of the organs or tissues. Intense wrinkles are caused by the loss of collagen and elasticity in the skin, which can result from aging, sun exposure, smoking, or dehydration.

Choice C reason: Raynaud's phenomenon is not the correct answer, because it is not a symptom of SLE. Raynaud's phenomenon is a condition that affects the blood flow to the fingers and toes, not the joints or other organs. Raynaud's phenomenon is caused by the narrowing of the small arteries that supply blood to the extremities, which can result from cold, stress, or other factors.

Choice D reason: Tachycardia is not the correct answer, because it is not a symptom of SLE. Tachycardia is a condition that affects the heart rate, not the joints or other organs. Tachycardia is caused by the abnormal electrical activity of the heart, which can result from anxiety, fever, infection, or other causes.

Choice A reason: Capillary refill is not the nurse's priority assessment for this client, because it is not the most relevant and sensitive indicator of the client's condition. Capillary refill is a test that measures the time it takes for the color to return to the nail bed after applying pressure, which reflects the peripheral circulation and tissue perfusion. Capillary refill can be affected by factors such as temperature, hydration, or vasoconstriction. Capillary refill is not a specific or reliable sign of PCP, which is a type of pneumonia caused by a fungus that affects the lungs and respiratory system.

Choice B reason: Radial pulses are not the nurse's priority assessment for this client, because they are not the most relevant and sensitive indicator of the client's condition. Radial pulses are the beats that can be felt at the wrist, which reflect the heart rate and rhythm. Radial pulses can be affected by factors such as activity, emotion, or medication. Radial pulses are not a specific or reliable sign of PCP, which is a type of pneumonia caused by a fungus that affects the lungs and respiratory system.

Choice C reason: Lung sounds are the nurse's priority assessment for this client, because they are the most relevant and sensitive indicator of the client's condition. Lung sounds are the noises that can be heard with a stethoscope over the chest, which reflect the air movement and ventilation in the lungs and airways. Lung sounds can reveal the presence of abnormalities, such as crackles, wheezes, or diminished breath sounds, which indicate fluid, inflammation, or obstruction in the lungs or airways. Lung sounds are a specific and reliable sign of PCP, which is a type of pneumonia caused by a fungus that affects the lungs and respiratory system.

Choice D reason: Skin turgor is not the nurse's priority assessment for this client, because it is not the most relevant and sensitive indicator of the client's condition. Skin turgor is a test that measures the elasticity of the skin, which reflects the hydration and fluid status of the body. Skin turgor can be affected by factors such as age, weight loss, or edema. Skin turgor is not a specific or reliable sign of PCP, which is a type of pneumonia caused by a fungus that affects the lungs and respiratory system.