A 74-year-old woman is complaining of abdominal pain after falling down five stairs and hitting her abdomen and left hand on a mailbox at the bottom. She also states pain to her left wrist and right ankle, both of which show obvious deformity. She is alert and oriented, and her abdomen is free of bruising but is tender to the left upper and lower quadrant. Her vital signs are: pulse 132,

respirations 22, blood pressure 106/86, and SpO2 at 96 percent. Oxygen has been applied, and she is fully immobilized. Advanced life support has been requested and is 18 minutes away. What is your next action?

A) Immobilize the wrist and ankle.
B) Monitor the patient and wait for ALS assistance.
C) Initiate immediate transport.
D) Apply ice to the wrist and ankle.

C