A child diagnosed with hemophilia presents to the emergency ...

[FButt]

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

Question 2

Which symptoms should the nurse include in the teaching plan for the family of a recently child diagnosed with aplastic anemia?
 
  1. Fatigue and fever
  2. Runny nose and cough
  3. Nausea and vomiting
  4. Cyanosis and bradycardia

[SamMuagrove]

Answer to Question 1

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.

Answer to Question 2

1
Explanation:
1. Fatigue secondary to anemia and fever related to infection secondary to neutropenia are common symptoms.
2. Aplastic anemia is not associated with upper respiratory infections.
3. Nausea and vomiting are not symptoms of aplastic anemia.
4. The child would exhibit tachycardia rather than bradycardia, and there is no reason for cyanosis.