A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia
Because of the client's history and the nature of the injury, the nurse should first collect data about: 1. Blood in the urine
2. Oxygen saturation
3. Presence of headache
4. Presence of slurred speech
1
Rationale: Because the kidneys are located in the flank region of the body, trauma to the back area can cause hematuria, particularly in the child with hemophilia. The nurse would be most concerned about the child's airway and respiratory rate if the child sustained an injury to the neck region. Headache and slurred speech are associated with head trauma.
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