Which statement is most correct with regard to childhood musculoskeletal injuries?
a. After the injury is iced, the swelling decreases, indicating the injury is not severe.
b. The presence of localized tenderness indicates a more serious injury.
c. The more swelling there is, the less severe the injury is.
d. The less willing the child is to bear weight, the more serious the injury is.
D
An inability to bear weight on the affected extremity is indicative of a more serious injury. With a fracture, general manifestations include pain or tenderness at the site, immobility or decreased range of motion, deformity of the extremity, edema, and inability to bear weight. A decrease in swelling after icing does not identify the degree of the injury. Localized tenderness along with limited joint mobility may indicate serious injury, but an inability to bear weight on the extremity is a more reliable sign. The degree of swelling does not indicate how serious the injury is.
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