A nurse is caring for a 9-year-old client at a clinic. Exhibits Select 3 priority actions that the nurse should take.

A. Ice helps reduce pain and swelling by causing vasoconstriction and minimizing tissue inflammation. Application should be intermittent (20 minutes on, 20 minutes off) and wrapped to avoid direct skin contact. Early ice therapy supports circulation preservation and limits edema progression. B. The child has not yet received a cast; teaching about cast care is premature. Priority actions now are to stabilize, relieve pain, and control swelling before immobilization. C. While wound care is appropriate, this is not a priority compared to interventions preventing neurovascular impairment in the fractured arm. D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce both pain and inflammation. Administering analgesics promptly improves comfort and facilitates cooperation with care. Pain control is essential for monitoring neurovascular changes, as uncontrolled pain can mask worsening symptoms. E. Although preparation reduces anxiety, this step should occur after the client’s comfort and circulation are stabilized. The immediate focus should be on pain and swelling management. F. Elevation promotes venous return and reduces edema, minimizing pressure on surrounding tissues. The limb should be elevated above heart level unless contraindicated. This helps prevent circulatory compromise and supports healing.