What is the priority nursing assessment for a patient who has suffered an electrical burn from a high-voltage current?

In the case of a patient who has suffered an electrical burn from a high-voltage current, assessing extremity movement is critical because electrical burns can cause significant damage to deep tissues and the nervous system. High-voltage injuries often lead to possible muscle and nerve damage, which may result in impaired motor function and loss of sensation.

Evaluating the movement of the extremities helps the nurse determine the extent of motor impairment and assess for potential complications such as compartment syndrome or nerve injuries. Prompt identification of these issues is essential for timely intervention, which can prevent further injury and help guide treatment decisions.

Other assessments, while important, do not have the same immediate priority in this scenario. Monitoring peripheral pulses is significant for vascular integrity, but the immediate concern is the motor function and potential neurological impact of the electrical injury. Pupil reaction is more relevant for neurological assessments related to head injuries or systemic issues, and tracking oral temperature is less relevant when addressing immediate physical impairments from an electrical burn.