A patient is brought to the emergency department after a motor vehicle crash. Which symptom assessed during data collection should the nurse report promptly?

a. Oliguria
b. Wheezing
c. Ecchymosis
d. Tachycardia


ANS: B
Airway and breathing are always the first priority, and wheezing indicates a respiratory issue, so it should be reported. A. Oliguria would be determined during the secondary survey. C. Ecchymosis would indicate injuries which might affect circulation. D. Tachycardia could be an effect of the trauma or from a loss in circulating blood volume. However, the priority is airway and breathing.

Nursing

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