A child diagnosed with hemophilia presents to the emergency department (ED) with multiple injuries following a motor vehicle crash. Which injury is the priority when conducting the nursing assessment?

1. Occipital hematoma
2. Radial fracture
3. Dislocated shoulder
4. Abdominal abrasions


1
Explanation:
1. A potential intracranial bleed would receive highest priority because of the danger of increased intracranial pressure and potential neurologic damage.
2. Although at risk for bleeding, this would not take priority over a head injury.
3. A dislocation is not at high risk for bleeding or tissue ischemia.
4. Although at risk for bleeding, this would not take priority over a head injury.

Nursing

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