A young girl has just injured her ankle at school. In addition to calling the child's parents, the most appropriate immediate action by the school nurse is to:
a. Apply ice.
b. Observe for edema and discoloration.
c. Encourage child to assume a comfortable position.
d. Obtain parental permission for administration of acetaminophen or aspirin.
ANS: A
Soft-tissue injuries should be iced immediately. In addition to ice, the extremity should be rested, be elevated, and have compression applied. Observing for edema and discoloration, encouraging the child to assume a comfortable position, and obtaining parental permission or administration of acetaminophen or aspirin are not immediate priorities.
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