Author Question: A client who is a victim of a penetrating trauma has bowel loops protruding through the abdominal ... (Read 59 times)

audragclark · **on:** Jul 22, 2018

A client who is a victim of a penetrating trauma has bowel loops protruding through the abdominal wall. Which of these actions should the nurse take FIRST?

a. Administer narcotics if indicated by pain level expressed by the client.
b. Cover the exposed intestine with saline-soaked gauze.
c. Insert a large-bore intravenous (IV) access.
d. Prepare the client for a peritoneal lavage procedure.

Question 2

When assessing a client's cerebral function, the nurse would evaluate level of consciousness, intellectual function, and which of the following?

a. status of reflexes c. body language
b. quality of voice d. pupil reaction

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

Answer to Question 1

B
Abdominal emergencies can have many causes and can result in multiple injuries. Internal hemorrhage is a potential complication. If loops of intestines are exposed to the outside air, they should be covered with saline-soaked gauze. IV access, oxygen administration, and standard protocol for managing the ABCs are instituted immediately.

Answer to Question 2

D
Assessment of cerebral function includes the client's level of consciousness (responsiveness and orientation), mental status (e.g., mood, behavior, facial expressions), intellectual function (e.g., concentration and recall), emotional status (affect), pupillary reaction (size and equality), and oral and written communication.