Recognizing Cues The nurse is reviewing data collected during the assessment of an adolescent who was involved in a skateboarding accident

QUESTION

Recognizing Cues The nurse is reviewing data collected during the assessment of an adolescent who was involved in a skateboarding accident. Which cues relate to the accident?​ Select all that apply. Scraped knees, bilaterally Swollen left ankle Blood pressure 106/70 Client reports pain is 8/10 Ice pack on left shoulder

ANSWER

In the assessment of the adolescent involved in a skateboarding accident, several cues relate to the incident:

1. Scraped knees, bilaterally
2. Swollen left ankle
3. Ice pack on left shoulder

These cues indicate physical signs of trauma or injury that are likely associated with the skateboarding accident. The scraped knees and swollen ankle suggest abrasions and potential sprain or fracture, while the ice pack on the left shoulder indicates that this area may have been affected as well.

Furthermore, the client’s self-reported pain level of 8/10 is an important subjective cue that provides insight into the severity of discomfort experienced as a result of the accident. Additionally, the blood pressure reading of 106/70 may also be indicative of the body’s response to the pain and potential shock following the incident.

Overall, these cues collectively point to specific injuries and pain experienced by the adolescent due to the skateboarding accident, warranting further evaluation and appropriate intervention by the healthcare team.