In splinting a foot fracture, the toes should remain exposed to monitor distal circulation. Which description best reflects the correct action?

• A. Toes must remain exposed
• B. Toes should be covered with padding
• C. Toes must be wrapped with tape
• D. Toes can be left inside a shoe

Answer: (A)

Keeping the toes exposed lets you watch for signs of how well blood is getting to the foot after you immobilize the injury. You can quickly notice changes in color, warmth, or capillary refill, and any numbness or diminished sensation—all clues that circulation might be compromised by swelling or pressure from the splint. If the toes are covered or taped, or left inside a shoe, those observations become harder or impossible, which could delay recognizing a problem. You can still pad areas to prevent pressure points, but the tips of the toes should stay visible so you can monitor perfusion and act quickly if needed.