NU272 HESI Case Study: Compound Fracture with complete solutions

Meet the Client Correct Answer a four-year-old is brought to the emergency department (ED) by ambulance following an automobile accident that occurred while the child was headed to the park with her sister, who is also her babysitter. The child sustained a compound fracture of the femur, which requires surgical reduction, followed by skeletal traction. Ethical-Legal Issues: Consent for Care Correct Answer The child's teenage sister accompanies her to the hospital. She reports that their parents are both at work. If a staff member is unable to reach the child's parents, what guidelines will determine the staff's ability to provide needed care? Correct Answer Emergency care may be provided after a reasonable attempt to reach the parents has been made. - Rationale: Exceptions to requiring parental consent before treating children can occur in emergency situations. Most healthcare facilities will provide emergency, life-saving medical care to a minor if unable to reach parents after a reasonable attempt has been made. Since the child's parents are divorced, which parent should the nurse try to contact first? Correct Answer The parent who has been assigned legal custody by the court. - The parent who has been assigned legal custody has the right to give consent. Clinical Manifestations Correct Answer The child's parents are reached and they are both on their way to the hospital. They both give telephone consent for her emergency care. The nurse performs an assessment of the affected leg and notes leg deformity, swelling, and ecchymosis. EMS documentation indicates the presence of crepitus. How is the presence of crepitus related to this femur fracture determined? Correct Answer Listen for a grating sound when the affected area is moved. - Listen for a grating sound when the affected area is moved.