A male patient with multiple injuries is brought to the ED by ambulance. He has had his airway stabilized and is breathing on his own. The ED nurse does not see any active bleeding, but should suspect internal hemorrhage based on what finding?
A) Absence of bruising at contusion sites
B) Rapid pulse and decreased capillary refill
C) Increased BP with narrowed pulse pressure
D) Sudden diaphoresis
Ans: B
Feedback:
The nurse would anticipate that the pulse would increase and BP would decrease. Urine output would also decrease. An absence of bruising and the presence of diaphoresis would not suggest internal hemorrhage.
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