The patient was a restrained front seat passenger in a car crash
Which findings would the nurse evaluate as indicating possible internal injury from the seatbelt? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient is unconscious.
2. There are abrasions across the patient's abdomen.
3. There is bruising across the patient's chest.
4. The patient has ecchymosis across both knees.
5. The patient complains of hip pain.
2,3,5
Rationale 1: Unconsciousness could result from a variety of factors and is not specifically linked to wearing a seatbelt.
Rationale 2: Abrasions in the area where the seatbelt is worn may indicate internal injury.
Rationale 3: Bruising in any area where the seatbelt is worn may indicate internal injury.
Rationale 4: Bruising on the knees does not suggest internal damage from the seatbelt.
Rationale 5: The pelvis may experience an extreme energy load when the seatbelt is engaged. Hip pain may result and may indicate internal damage.
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