Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
3. A school nurse is called to the playground during recess to see a child with hemophilia who has collided with a friend. The child's knee is bruised and swollen and the child reports significant pain. Which actions should the nurse take? Select all that apply.
. Call emergency medical services (EMS).
. Wrap the knee in a compression bandage.
. Provide crutches for mobility.
. Apply ice packs.
. Elevate the injured extremity.
. Suggest that the child stay indoors during recess.
Test-Taking Tip
Use the mnemonic RICE (rest, ice, compression, elevation) to remember the treatment for hemophilia.
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
. . .
Answer 1 is incorrect because emergency medical services (EMS) are not required for this joint injury because the condition is not immediately life threatening. The child should be seen by the regular physician. Answer 2 is correct because the nurse should apply a wrap to the knee for immobility and compression. Answer 3 is incorrect because the child should not continue to ambulate as it could worsen the injury. Answer 4 is correct because ice should be applied to constrict blood vessels to reduce bleeding, swelling, and pain. Answer 5 is correct because elevating the extremity will help to reduce swelling and bleeding. Answer 6 is incorrect because keeping the child indoors is inappropriate. The child should be permitted to self-limit activities and lead as normal a life as possible.