Difficulty: Medium
Average Score: 81%
Simulated
An emergency department nurse triages a group of school children injured in a school bus crash. Which of the following children should the nurse have the provider evaluate first?
Correct answer
C
Rationale
The correct answer is C because the child with diplopia, nausea, loss of consciousness, and now awake may have a head injury or concussion, which requires urgent evaluation to rule out any potential neurological damage. This child's symptoms indicate a possible traumatic brain injury, which can be life-threatening if not promptly assessed and treated.
Choice A is incorrect because although bleeding is concerning, it is not immediately life-threatening compared to potential head trauma. Choice B, the child with a compound fracture, while painful, is not as urgent as a potential head injury. Choice D, the child with missing teeth and a swollen lip, may have dental trauma but does not pose an immediate threat to life or long-term health compared to a head injury.
Choice A is incorrect because although bleeding is concerning, it is not immediately life-threatening compared to potential head trauma. Choice B, the child with a compound fracture, while painful, is not as urgent as a potential head injury. Choice D, the child with missing teeth and a swollen lip, may have dental trauma but does not pose an immediate threat to life or long-term health compared to a head injury.