What action should the nurse take for a patient with circumferential burns and reduced dorsalis pedis pulse strength?

In the case of a patient with circumferential burns and reduced dorsalis pedis pulse strength, the most appropriate action is to notify the health care provider. Circumferential burns can lead to compartment syndrome, a serious condition that occurs when there is increased pressure in a closed muscle compartment, often due to swelling or eschar (dead tissue) formation. This pressure can compromise blood flow and nerve function in the affected limb.

The reduced pulse strength in the dorsalis pedis artery may indicate impaired perfusion to the foot, suggesting that the circumferential burns are creating a constrictive band around the limb. Immediate notification to the health care provider is critical, as they may need to assess the need for surgical intervention, such as a fasciotomy, to relieve the pressure and restore circulation. Prompt action is essential to prevent permanent tissue damage and complications associated with compromised blood flow.

Monitoring the pulses every 2 hours, while important for ongoing assessment, does not address the immediate risk of compartment syndrome. Elevating the legs or encouraging movement might be helpful in other contexts, but in this scenario, they do not address the urgent need for intervention related to the compromised circulation.