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ham.christian ham.christian
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Posts: 1009
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6 years ago
Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident. The parents and child are upset, and the child will not allow an examination of the injured arm.
 
  What priority nursing intervention should occur at this time?
  a. Send the child to radiology so radiography can be performed.
  b. Initiate an intravenous line and administer morphine for the pain.
  c. Calmly ask the child to point to where the pain is worst and to wiggle fingers.
  d. Have the parents hold the child so that the nurse can examine the arm thoroughly.
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6 years ago
ANS: C
Initially, assessment is the priority. Because the child is alert but upset, the nurse should work to gain the child's trust. Initial data are gained by observing the child's ability to move the fingers and to point to the pain. Other important observations at this time are pallor and paresthesia. The child needs to be sent for radiography, but initial assessment data need to be obtained. Sending the child for radiography will increase the child's anxiety, making the examination difficult. It is inappropriate to ask parents to restrain their child. These parents are upset about the injury. If restraint is indicated, the nurse should obtain assistance from other personnel.
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