Solved

The Nurse Has Just Started Assessing a Young Child Who

Question 11

Multiple Choice

The nurse has just started assessing a young child who is febrile and appears very ill.There is hyperextension of the child's head (opisthotonos) ,with pain on flexion.What is the priority action?


A) Refer for immediate medical evaluation.
B) Continue assessment to determine cause of neck pain.
C) Ask parent when neck was injured.
D) Record "head lag" on assessment record and continue assessment of child.

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