The nurse is caring for a client with a pelvic fracture. Which is the nurse's priority action to prevent complications?
a. Monitor temperature daily.
b. Insert a urethral catheter.
c. Monitor blood pressure frequently.
d. Turn the client every 2 hours.
C
With a pelvic fracture, internal organ damage may result in bleeding and hypovolemic shock. The nurse monitors the client's vital signs, skin color, and level of consciousness frequently to determine whether shock is occurring. The client may need a urethral catheter inserted at some point in time if voiding is a problem. It is important to monitor the urine for blood to assess whether the urinary system has been damaged with the pelvic fracture. The client should not be turned on his or her side unless the fracture is stabilized.
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