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

Question

Quizplus · Accepted Answer

Although all of these nursing diagnoses are relevant to the child in traction, pain resulting from muscle spasm and tissue trauma is the highest priority.

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