Jane, a clinical nurse specialist, just finished an eight hour shift from “X” medical center. On her way home, she witnessed a child hit by a motorcycle while crossing a train railway. The child fell at the railway. Jane rushed to the scene and she knew that the first thing that she should do is:
  1. Leave the child for a few moments to call for help
  2. Reduce the fracture manually
  3. Stay with the child, encourage him to remain still, and immobilize the leg while waiting for the ambulance
  4. Move the child to a safer place
Explanation
Answer - D - Jane rushed to the scene and she knew that the first thing that she should do is move the child to a safer place. The child is in the middle of a train railway. It is very unsafe to immobilize his legs and remain still at the middle of a railway, considering that a train might come anytime while waiting for an ambulance. Safety is the utmost importance at this point. If option D is not among the choices and the situation is a little less dangerous, the answer will be C. Remember that in all cases of emergencies, removing the victim from the scene to a much safer place is a priority.
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