A school nurse is assessing a 5-year-old with recurrent joint pain and bruising. Which action should the nurse take first?

• A. Allow the child to rest while the parents are notified
• B. Provide the parents with referral to a pediatrician
• C. Administer Aspirin
• D. Call Child Protective Services

Answer: (B)

When a young child has recurring joint pain and easy bruising, it can indicate a medical issue such as a bleeding disorder or another condition that needs prompt evaluation. The first step is to arrange a medical referral to a pediatrician so the child can be examined and appropriate tests (like blood work and coagulation studies) can be done to determine the cause. This ensures a proper diagnosis and safe management.

Resting the child and notifying parents delays diagnosis and treatment. Administering aspirin is not appropriate in a case with potential bleeding disorders because it can worsen bleeding. Calling Child Protective Services is only necessary if there is clear evidence of abuse or neglect; the immediate priority is medical assessment to identify the real issue.