A pedestrian who was hit by a car is admitted to the emergency ...

[tfester]

A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
 
  a. elevate the right leg.
  b. splint the lower leg.
  c. check the pedal pulses.
  d. verify tetanus immunizations.

Question 2

Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
 
  a. Elevate the leg on 2 pillows.
  b. Apply a compression bandage.
  c. Check leg pulses and sensation.
  d. Place ice packs on the lower leg.

[pocatato]

Answer to Question 1

ANS: C
The initial nursing action should be assessment of the neurovascular status of the injured leg. After assessment, the nurse may need to splint and elevate the leg, based on the assessment data. Information about tetanus immunizations should be done if there is an open wound.

Answer to Question 2

ANS: C
The initial action by the nurse will be to assess the circulation to the leg and to observe for any evidence of injury such as fractures or dislocations. After the initial assessment, the other actions may be appropriate, based on what is observed during the assessment.