A 10-year-old girl is brought to the emergency department by her father after tripping over a rock while running in the yard. She tells the nurse, "I think I twisted my ankle"
When assessing the child, which of the following would the nurse most likely assess? A) Bruising
B) Edema
C) Limited range of motion
D) Absent pulse
B
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The girl is describing a sprain, which is frequently accompanied by edema. Bruising may or may not be present. The nurse should not attempt to perform passive range of motion on the affected body part. A pulse should be present; if one is not, neurovascular compromise is present.
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