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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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danielarincon26 danielarincon26
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6 years ago
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
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#1
6 years ago
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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.
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