Author Question: A patient was thrown 30 feet from an open-top Jeep and straddled a row of mailboxes before she ... (Read 38 times)

chads108 · **on:** Jun 25, 2018

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.

Question 2

The nurse knows that the patient with DKA will need

a. subcutaneous insulin.
b. IV insulin.
c. subcutaneous and IV insulin.
d. combination 70/30 insulin.

emily12345 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

C
The patient needs IV insulin for rapid onset but will also need subcutaneous insulin about 1 hour before the IV insulin is discontinued.