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ham.christian ham.christian
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6 years ago
A 10-year-old child is in the emergency department with a type IV femur fracture. Which intervention takes priority?
 
  A.
  Assessing the child for signs of maltreatment
  B.
  Ensuring that signed consent for surgery is on the chart
  C.
  Explaining the process of closed reduction with sedation
  D.
  Preparing the child for prolonged immobility in traction
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wrote...
6 years ago
ANS: B
A type IV fracture must be reduced surgically. The nurse ensures that signed consent is on the chart. Fractures in a 10-year-old are not as commonly caused by child abuse as by bicycle crashes or sporting injuries, so unless other signs of maltreatment are noticed, this would not be a priority. Because the child is not having a closed reduction, explanation of this process is not needed. The child will also not be immobilized in traction for a prolonged period.
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