The nurse is assessing a client after a motor vehicle accident and notes the presence of ecchymosis in the left flank area. The nurse would interpret this finding as which of the following?
1. Positive Grey Turner's sign
2. Costovertebral angle tenderness
3. Possible clotting dysfunction
4. A precursor to hematuria
1
Rationale 1: The presence of ecchymosis in the flank area is a positive Grey Turner's sign and must be correlated to signs of trauma such as blunt penetrating wounds or lacerations.
Rationale 2: Tenderness in the costovertebral angle is a symptom the client would voice if present; ecchymosis in this area does not necessarily indicate tenderness. The presence of ecchymosis in the flank area is a positive Grey Turner's sign and must be correlated to signs of trauma such as blunt penetrating wounds or lacerations.
Rationale 3: A clotting problem could cause bruising, but bruising in this specific area would be more indicative of a positive Grey Turner's sign.
Rationale 4: Hematuria is not necessarily going to occur as a result of the findings. The presence of ecchymosis in the flank area is a positive Grey Turner's sign and must be correlated to signs of trauma such as blunt penetrating wounds or lacerations
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