Difficulty: Medium
Average Score: 77%
Simulated
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the following findings is the nurse's priority?
Correct answer
B
Rationale
A 2+ right pedal pulse indicates a normal pulse and is not a cause for immediate concern in a child with a femur fracture. Tingling in the right foot could indicate nerve damage or compromised blood flow, which can be a serious complication of a femur fracture. This should be the nurse's priority as it could lead to long-term damage if not addressed promptly. A capillary refill time of less than 2 seconds is considered normal and is not a cause for immediate concern in a child with a femur fracture. A respiratory rate of 24/min is within the normal range for a school-age child and is not a cause for immediate concern in a child with a femur fracture.