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A child is taken to the emergency room, he is with his parents who are upset and his grandmother….Where would the nurse start with her assessment?

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A child is taken to the emergency room, he is with his parents who are upset and his grandmother….Where would the nurse start with her assessment?

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A physical assessment of the child and then the parents – if they are too distraught to make any sense, then the grandmother. Unless the grandmother was there, and the parents were not, when the accident/illness ocurred, in which case she would need to explain what happened.

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Emergency means you start with the child’s body and heal it as much as possible. The rest can wait for another observer. Later with what you are observing and present with staunching the wounds or whatever is needed.

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The child is the most important person. You need to visually assess the child and then need to ask where the hurt is as # 1 and then what type. You then assess the child physically for signs that relate to the type and site of the injury. Calming the parents and getting answers to your questions can be included in your assessment of the child.

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