If a child with Down syndrome reports neck pain and loss of bladder control, what should the nurse do first?

When a child with Down syndrome reports neck pain and loss of bladder control, the immediate priority is to ensure the child’s safety and address any potential serious conditions. Children with Down syndrome may have associated anatomical abnormalities, including atlantoaxial instability, which can lead to neurological complications if there is any trauma to the neck. Neck pain could indicate a significant issue that might require urgent medical evaluation.

Contacting the physician regarding these findings allows for prompt assessment and intervention. This response is crucial because neck pain combined with loss of bladder control could suggest a serious condition requiring further diagnostic procedures, such as imaging studies or neurological evaluations. Timely communication with the physician ensures that the child receives the necessary medical attention and intervention without delay.

Other actions, such as administering acetaminophen, advising rest, or providing education on managing bladder control, may be important but do not address the potential underlying serious medical condition as effectively as seeking immediate medical input. These are supportive measures but may delay crucial treatment in the face of alarming symptoms that require professional evaluation.