Author Question: The client was admitted to the hospital 2 hours ago following multiple fractures to the pelvis and ... (Read 25 times)

corkyiscool3328 · **on:** Jul 22, 2018

The client was admitted to the hospital 2 hours ago following multiple fractures to the pelvis and soft tissue injury to the abdomen. Diagnostic studies have ruled out perforation of abdominal organs.

The nurse places highest priority on monitoring this client for which of the following changes in vital signs? 1. Fever, bradycardia
2. Fever, hypertension
3. Tachycardia, hypotension
4. Bradycardia, hypertension

Question 2

The postpartum client asks the nurse about the occurrence of afterpains. The nurse informs the client that afterpains will be especially noticeable:

1. When ambulating
2. During breast-feeding
3. While taking sitz baths
4. When the client arrives home and activities are increased

gstein359 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Clients who experience fractures of the femur, pelvis, thorax, and spine are at risk for hypovolemic shock. Bone fragments can damage blood vessels, leading to hemorrhage into the abdominal cavity and, in the case of a fractured femur, into the thigh. This can occur with closed fractures as well as open fractures. Signs of hypovolemic shock include tachycardia and hypotension.

Answer to Question 2

2

Rationale: Afterpains are a normal occurrence and result from contractions of the uterus as it reduces in size during involution. Afterpains may be especially noticeable during breast-feeding because oxytocin is released in response to the infant's sucking. The other options are incorrect.