Question

miss Eileen sideways is a 14-year-old girl who presents to the ER following a bicycle accident. She is alert and oriented to person, place, and time. The client's mother witnessed the accident and states that she had a helmet on and caught herself with her hands. Eileen rates her pain at a 9 on a scale of 0-10. The patient is crying and grimacing. The patient states "my arm is throbbing". You assess ecchymosis and swelling to the distal portion of the right upper extremity. You assess Elineen's acceptable level of pain to be 4 on a scale of 0-10. An x-ray reveals a compound radius and ulna fracture.

A. What is the priority problem?

B. what is priority nursing diagnosis that will guide your plan of care?

C. what is priority smart goal/expected outcome for the patient?

D. what interventions will initiate based on this priority?

E. What was your patient's outcome for this goal?

Answer 1

A) The priority problem is the fracture of radius and ulnar

B)Acute pain in hand related to broken bones secondary to compound fracture as evidenced by facial grimace, pain scale, verbalisation

C)The goal is reduce the pain by treating the fracture

D) A plaster of cast will be applied as the bone healing process in children are different compared to adults

Followed by analgesics to reduce pain

Limb elevation to prevent edema

Finger exercises or movements to maintain circulation

E)The outcome will be reduced pain and healing of the broken bone.