An 8-year-old girl has a third-degree sprain of the ankle. Based on this diagnosis, which teaching points will the nurse include in the teaching plan for this patient and family? (Select all that apply.)
A.
The ligament is only stretched and the affected joint is stable.
B.
The patient cannot bear weight or use the extremity.
C.
There is severe pain over the joint, making an exam difficult.
D.
There is full range of motion and weight bearing.
E.
Sprains and strains are unusual in a child this age.
ANS: B, C, E
Sprains are less common in younger children than are fractures. In a third-degree sprain the injury is severe, the ligament is completely torn, and the joint is unstable. There is significant swelling and severe ecchymoses occurring within the first 30 minutes. There is also severe pain over the joint, making examination difficult. The person cannot bear weight or otherwise use the extremity.
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