A 10-year-old child is transported to the Emergency Department by ambulance from the scene of a car accident. He is alert and oriented X 3; his pulse, respirations, and blood pressure are stable; and his neck and back are immobilized on a backboard
The nurse sees no obvious bleeding. The child states, "I can't feel or move my legs." What injury is most likely? 1. Traumatic brain injury
2. Ruptured spleen
3. Traumatic shock
4. Spinal cord injury
4
Rationale:
1. Altered levels of consciousness might indicate traumatic brain injury.
2. The child could have a ruptured spleen, but it is not evident from the data given.
3. Traumatic shock results in initially increasing then decreasing pulse and respirations and falling blood pressure.
4. Spinal cord injury results in paralysis and anesthesia of the affected body parts below the level of the lesion.
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