An emergency room nurse assesses a client after a motor vehicle crash. The nurse notices a "steering wheel mark" across the client's chest. Which action should the nurse take?
a. Ask the client where in the car he or she was sitting during the crash.
b. Assess the client by gently palpating the abdomen for tenderness.
c. Notify the laboratory to draw blood for blood type and crossmatch.
d. Place the client on the stretcher in reverse Trendelenburg position.
ANS: B
The liver is often injured by a steering wheel in a motor vehicle crash. Because the client's chest was marked by the steering wheel, the nurse should perform an abdominal assessment. Assessing the client's position in the crash is not needed because of the steering wheel imprint. The client may or may not need a blood transfusion. The client does not need to be in reverse Trendelenburg position.
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