A patient with thoracic injuries sustained in a multivehicle crash is demonstrating an alteration in perfusion. What should the nurse do to help this patient?
Select all that apply.
1. Auscultate lung sounds.
2. Measure blood pressure.
3. Measure central venous pressure.
4. Reduce rate of intravenous fluids.
5. Assess for jugular vein distention.
Correct Answer: 1, 2, 3, 5
For an alteration in perfusion, the nurse should auscultate lung sounds, measure blood pressure, measure central venous pressure, and assess for jugular vein distention. Reducing intravenous fluids could exacerbate the problem.
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