A patient was thrown 30 feet from an open-top Jeep and straddled a row of mailboxes before she landed on the ground. She has an open pelvic fracture. The nurse admitting the patient into the ICU knows that
a. aggressive fluid and blood replacement will probably be needed.
b. the patient will probably be able to walk as soon as she is hemodynamically stable.
c. she will probably not need surgery to stabilize her fracture.
d. there is little likelihood of damage to the genitourinary or gastrointestinal tracts.
A
The mortality rate for these injuries is high because unlike closed pelvic fractures that bleed into the peritoneum, open pelvic fractures result in external exsanguinations.
You might also like to view...
An older female adult has severe osteoporosis in long bones, impaired mobility, and chronic pain. Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?
a. Peripheral neuropathy b. Chronic stable depression c. Intertrochanteric fracture d. Opioid analgesic addiction
An older patient with insomnia lives in an assisted living facility and is seen reading in the lounge area most nights. Which issue causes the greatest concern for the nurse caring for this patient?
1. The patient has significant underlying problems. 2. Insomnia is linked to cardiac dysfunction if it is not managed. 3. Liability is created by a patient who is unsupervised in the lounge areas. 4. The patient's ability to function during the day may be hindered by these episodes.
The nurse is caring for a patient with advanced emphysema. Which signs are manifestations of this disorder? (Select all that apply.)
a. Productive cough b. Dyspnea c. Barrel chest d. Wheezing e. Cyanotic skin tone
Part of the neurological examination involves evaluating the response of the cranial nerves. To test cranial nerve VIII, which of the following actions should the nurse take?
a. Ask the patient to read printed material. b. Assess the directions of the gaze. c. Assess the patient's ability to hear the spoken word. d. Ask the patient to say "ah," and observe movement of the palate and pharynx.