The nurse is providing care to a farmworker who was pinned against a steel gate by a horse.Deformation of the patient's pelvis and femurs is obvious,but little blood is present on the patient's clothing.Initial blood pressure is 110/68 mm Hg.What nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

Question

Quizplus · Accepted Answer

The patient's low blood pressure and potential for internal bleeding indicate the need for intravenous access with a large-bore catheter and fluid resuscitation with normal saline. Administration of a vasopressor medication is not indicated at this time, and there is no indication for a chest tube. The priority is to address the patient's potential hypovolemia from internal bleeding. Turning the patient is also not indicated until spinal injuries have been ruled out.

The Nurse Is Providing Care to a Farmworker Who Was