A 10-year-old child is transported to the Emergency Department by ambulance from the scene of a car accident. He is alert and oriented × 3
His pulse, respirations, and blood pressure are stable, and his neck and back are immobilized on a backboard. The nurse sees no obvious bleeding. The child states," I can't move or feel my legs.". What injury is most likely? 1. Traumatic brain injury
2. Ruptured spleen
3. Traumatic shock
4. Spinal cord injury
4
Rationale:
1. Altered levels of consciousness could indicate traumatic brain injury.
2. The child might have a ruptured spleen, but it is not evident from the data given in this scenario.
3. Traumatic shock results in initially increasing then decreasing pulse and respirations and falling blood pressure.
4. Spinal cord injury results in paralysis and anesthesia of the affected body parts below the level of the lesion.
Chapter 43_LO05
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