Author Question: A 25-year-old male client arrives at the emergency department after a motor vehicle collision. The ... (Read 89 times)

LaDunn · **on:** Jul 22, 2018

A 25-year-old male client arrives at the emergency department after a motor vehicle collision. The nurse, assessing the client, notes the abdomen is distended, with bruising around the umbilicus.

Which of the following diagnostics would the nurse anticipate the physician ordering for the client? (Select all that apply.) 1. Complete blood count (CBC)
2. Blood type and crossmatch
3. Urine drug screen
4. Thyroid profile
5. Serum sodium

Question 2

For which patient is the rectal route for administering pain medication contraindicated?

a. 4-year-old child c. patient who is nau-seated
b. patient who is im-munocompromised d. patient who has dys-phagia

chereeb · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Complete blood count (CBC)
2. Blood type and crossmatch
3. Urine drug screen

Rationale:
The diagnostic tests ordered once the client reaches the hospital depend on the type of injury the client has sustained. Tests that might be ordered include CBC and blood type and crossmatching for the client's serum and donor red blood cells. Blood alcohol level and urine drug screen might be ordered to assess alcohol or drugs. Serum sodium level is important, but not as important as the blood count, crossmatch, and urine drug screen.

Answer to Question 2

B
The rectal route is contraindicated in patients with diarrhea, lesions of the rectum or anus, or for immunosuppressed patients. The rectal route is effective when patients are nauseated and vomiting or when they are unable to eat normally.