What immediate nursing intervention is most appropriate for a suspected anterior shoulder dislocation before radiographic confirmation?
Applying longitudinal traction to the affected arm
Performing a closed reduction attempt
Immediate immobilization of the joint
Administering oral analgesia
For suspected dislocations, immobilization is the priority to prevent further injury to the joint and surrounding structures. While analgesia is important, it is secondary to immobilization. Closed reduction is typically performed by a physician once the dislocation is confirmed by radiography and should not be attempted by nursing personnel prior to confirmation. Similarly, applying traction is part of the reduction process and should not be done without confirmation and medical direction.
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