A 4-year-old child is brought to the emergency department after falling from a playground slide. The child is …

Question

A 4-year-old child is brought to the emergency department after falling from a playground slide. The child is crying and holding the right arm close to the body. Which assessment finding would be MOST concerning and require immediate intervention?

Accepted Answer

보기 3: Absence of radial pulse with cool, pale fingers and delayed capillary refill >3 seconds

Absent radial pulse with cool pale fingers and delayed capillary refill indicates compromised circulation, an emergency requiring immediate intervention to prevent permanent damage. Other findings like deformity or pain are concerning but less urgent.

Answer

보기 1: Visible deformity of the left forearm with moderate swelling

Answer

보기 2: Child rates pain as 8/10 on the FACES pain scale and requests pain medication

Answer

보기 4: Reluctance to move the arm with guarding behavior and localized tenderness

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A 4-year-old child is brought to the emergency department after falling from a playground slide. The child is crying and holding the right arm close to the body. Which assessment finding would be MOST concerning and require immediate intervention?

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