A child with hemophilia comes to the Emergency Department following an automobile accident. The child presents with multiple injuries. When prioritizing care for the child, the nurse would be most concerned with which of the following injuries?
1. Radial fracture
2. Abdominal abrasions
3. Dislocated shoulder
4. Occipital hematoma
4
Rationale:
1. Although at risk for bleeding, this would not take priority over a head injury.
2. Although at risk for bleeding, this would not take priority over a head injury.
3. A dislocation is not at high risk for bleeding or tissue ischemia.
4. A potential intracranial bleed would receive highest priority because of the danger of increased intracranial pressure and potential neurologic damage.
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