A 10-year-old child is in the emergency department with a type IV femur fracture. Which intervention takes priority?
A.
Assessing the child for signs of maltreatment
B.
Ensuring that signed consent for surgery is on the chart
C.
Explaining the process of closed reduction with sedation
D.
Preparing the child for prolonged immobility in traction
ANS: B
A type IV fracture must be reduced surgically. The nurse ensures that signed consent is on the chart. Fractures in a 10-year-old are not as commonly caused by child abuse as by bicycle crashes or sporting injuries, so unless other signs of maltreatment are noticed, this would not be a priority. Because the child is not having a closed reduction, explanation of this process is not needed. The child will also not be immobilized in traction for a prolonged period.
You might also like to view...
A patient with rheumatoid arthritis has been diagnosed with a secondary immune-associated neutropenia called Felty syndrome
The nurse has had to research this and found that she should be assessing this patient for which of the following manifestations of Felty syndrome. Select all that apply. A) Upper left quadrant pain on palpation B) An area of diminished breath sounds related to pneumonia C) Intermittent pain that radiates from the flank to the groin D) Swelling and pain in all joints when put through full range of motion E) Headache that worsens when exposed to bright lights
An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care?
a. Subacute care b. Primary care c. Secondary care d. Tertiary care
The apex of the heart is formed by the _____
a. tip of the left ventricle b. tip of the right atrium c. right atrium and right ventricle d. left atrium and left ventricle
Patients in health care settings often are anxious. What behaviors would lead a nurse to believe that a patient is anxious? (Select all that apply.)
A) Rapid speech B) Crying C) Defensive tone D) Steady voice E) Sweating