A child has fallen in gym class and is complaining of pain in one ankle. The child cries out when trying to bear weight
The nurse should complete which of the following immediate actions if there is swelling, bruising, deformities, decreased movement, or decreased circulation and sensation in the deformity? a. splint the extremity as necessary c. apply heat
b. continue to have the child bear weight d. call an ambulance
A
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A Correct. Given the nature of the pain, and the symptoms described, the nurse's immediate action should be to splint the extremity as necessary.
B Incorrect. The symptoms indicate a fracture; therefore, the nurse should keep the child from weight bearing on the injured ankle. However, this is not the appropriate immediate action.
C Incorrect. Good first aid calls for application of a cold pack, not heat, given the symptoms.
D Incorrect. Calling an ambulance should occur if the nurse's assessment dictates the situation to be an emergency.
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