The nurse is caring for a patient who sustained a lacerated spleen from a motorcycle accident. Which of the following complications is this patient prone to experience because of the trauma?
1. ARDS
2. sepsis
3. acute renal failure
4. deep vein thrombosis
3
Rationale: Abdominal trauma, specifically a lacerated spleen, makes the patient prone to developing the complication of acute renal failure, abdominal compartment syndrome, or disseminating intravascular coagulation. ARDS is seen more often with thoracic traumatic injuries. Sepsis is associated with an open pneumothorax and perforated intestine. Deep vein thrombosis is not associated with any particular organ system and can occur at any time with any health problem that restricts mobility or increases blood coagulation.
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