The emergency-room nurse receives a preschool-age child who was hit by a car. Which nursing interventions are a priority for this child?
1. Performing a rapid head-to-toe assessment
2. Recording the parents' insurance information
3. Assessing airway, breathing, and circulation
4. Asking the parents about organ donation
5. Asking the parents if anyone witnessed the accident
Correct Answer: 1,3
Rationale: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanism of injury, but this is not the initial priority.
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