The Emergency Department nurse receives a 3-year-old child who was hit by a car. The nurse's priority intervention is which of the following?
1. Record the parents' insurance information.
2. Assess airway, breathing, and circulation.
3. Ask the parents about organ donation.
4. Ask the parents if anyone witnessed the accident.
2
Rationale:
1. Recording insurance information is necessary, but should never come before life-saving assessment and intervention.
2. Assessing airway, breathing, and circulation is the priority nursing intervention.
3. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known.
4. 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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