A patient with suspected pelvic trauma is pale, tachycardic and hypotensive after a road collision. There is no obvious external bleeding. Which intervention should the nurse anticipate while maintaining spinal precautions?
Correct answer: B. Apply a pelvic binder according to emergency protocol
- A. Encourage the patient to walk to assess leg movement
- B. Apply a pelvic binder according to emergency protocol
- C. Massage the abdomen to locate the bleeding site
- D. Place the patient in a sitting position without support
Explanation
Pelvic fractures can cause major concealed haemorrhage even without external bleeding. A correctly applied pelvic binder can reduce pelvic volume and bleeding while spinal alignment and circulation are maintained; walking and abdominal massage are unsafe.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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