A 10-year-old boy arrives with his mother at the emergency department after being bitten by a stray dog. He has sustained a soft
tissue injury on the inner aspect of the left forearm, and it is bleeding. What is the priority nursing action?
1
Asking the mother whether her son is allergic to horse serum
2
Assessing the injury and the child's vital signs and health history
3
Inoculating the child with human rabies immunoglobulin
4
Notifying the police department to capture and test the dog
2.
For effective decisions to be made, baseline information on the child's condition, extent of injury, and significant health history are required first. Hyperimmune antirabies serum is not a preferred treatment. Inoculation for establishment of short-term, passive immunity to rabies follows initial care of injuries; the priority is assessment and treatment of the injury. Authorities should be notified after the injured child has received care.
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