A child ran into the street and was struck by a car. Which finding, typical for this mechanism of injury, would the nurse anticipate assessing?
1. Lower extremity fracture caused by the wheels running over the child
2. Kidney injury due to the impact of the vehicle on the lower back
3. Chest or femur injuries where the bumper may have impacted the child
4. Liver injuries on the right side due to impact by the vehicle
3
Rationale 1: Multisystem trauma is likely, but specific lower extremity fracture is not the most common type of injury.
Rationale 2: Multisystem trauma is likely, but children are not generally struck in the back.
Rationale 3: Children tend to freeze and face the vehicle and therefore end up with more frontal injuries than adults. So, depending on the height of the child and the height of the vehicle bumper, the impact occurs on the chest or femur.
Rationale 4: Multisystem trauma is likely, but children are not generally struck on the side.
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