Question

The client has fallen and the nurse is assessing for injuries. which of the following injuries is the priority and needs further evaluation?

1. A large painful ecchymotic area on left forearm

2. skin tear 1cm in length to the left temple

3. left leg that is externally rotated.

4. Crepitus felt over the left knee upon movement.

further evaluation?

Answer 1

Option a is wrong as ecchymosis is not as important as left leg external rotation. So it is having less priority as it is Just an ecchymosis

Option b is wrong as 1 cm skin cm is less important as compared to the left leg external rotation

Option c is the correct answer as the external rotation of the left leg it is the one thing that is very important and is the highest priority and need further evaluation.

Futher evaluation of the pain and the pain scale ratings out of 10 has to be collected

The patient extent of rotation has to be evaluated

The intervention that is to be done should be checked

Option d is wrong as crepitus felt over knee is not as important as left leg external rotation