The nurse is caring for a patient who has sustained an abdominal injury in a motor vehicle crash. Which symptom should be the most concerning to the nurse?
a. pH 7.35
b. Blood pressure 104/52 mm Hg
c. A red macular rash on the patient's back
d. Weak distal pulses in the lower extremities
ANS: B
Abdominal organs may be injured as a result of severe blunt or penetrating trauma. If hypotension is present, intra-abdominal hemorrhage may exist. A. A pH of 7.35 is within normal limits. C. A red macular rash on the patient's back would need further investigation however can be addressed at a later time. D. Weak distal pulses in the lower extremities would be consistent with the low blood pressure.
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