A 6-Year-Old Sustained a Fractured Femur and Was Put in Russell

A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago.She screams in pain when she raises herself onto the bedpan.The nursing diagnosis that takes highest priority for this child is:

A) pain resulting from tissue trauma.
B) high risk for impaired skin integrity resulting from immobility.
C) altered growth and development related to separation from family.
D) altered urinary elimination related to immobility and traction.