The emergency department nurse has received a call from an incoming ambulance about a client who sustained a pelvic fracture. Which concomitant findings does the nurse understand to significantly increase the mortality rate in this client? Select all that apply.
A) Abdominal injury requiring laparoscopic surgery
B) Hypotension at the time of admission
C) Airway injury requiring intubation
D) Head injury requiring neurosurgery
E) Pleural injury requiring chest tube placement
A) Abdominal injury requiring laparoscopic surgery
B) Hypotension at the time of admission
D) Head injury requiring neurosurgery
Explanation: A) In client's who have sustained a pelvic fracture, those with abdominal injuries requiring laparoscopic surgery, hypotension at the time of admission, and head injuries requiring neurosurgery have a significantly increased rate of mortality than clients without these concomitant findings.
B) In client's who have sustained a pelvic fracture, those with abdominal injuries requiring laparoscopic surgery, hypotension at the time of admission, and head injuries requiring neurosurgery have a significantly increased rate of mortality than clients without these concomitant findings.
C) Airway injuries requiring intubation and pleural injuries requiring chest tube placement are not findings that significantly influence the mortality rate of clients with pelvic fractures.
D) In client's who have sustained a pelvic fracture, those with abdominal injuries requiring laparoscopic surgery, hypotension at the time of admission, and head injuries requiring neurosurgery have a significantly increased rate of mortality than clients without these concomitant findings.
E) Airway injuries requiring intubation and pleural injuries requiring chest tube placement are not findings that significantly influence the mortality rate of clients with pelvic fractures.
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