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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)

    A nurse is caring for a 9-year-old child at a clinic. Exhibits The nurse should determine that the assessment findings are consistent with which of the following conditions? For each potential condition, click to specify if the assessment findings are consistent with a sprain, a fracture, or a dislocation. Each finding may support more than 1 condition.

    Explanation & Rationale

    Rationale: • Edema: Swelling occurs in sprains, fractures, and dislocations due to tissue injury, inflammation, and bleeding into the surrounding area. It is a non-specific sign of trauma but indicates soft tissue or bony involvement. • Sensation (tingling): Altered sensation is more commonly associated with fractures and dislocations because of nerve compression or injury near the affected bone or joint. Sprains typically do not involve neurological changes unless severe. • Ecchymosis: Bruising occurs in sprains, fractures, and dislocations due to vascular injury from trauma. It helps localize the injury but cannot differentiate between soft tissue and bone involvement. • Pain level (4/10): Pain is present in all three conditions. The intensity may vary depending on the severity of injury, but mild to moderate pain is expected in sprains, fractures, and dislocations.

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