In an emergency scenario, what should the nurse prioritize first for a client with abdominal trauma and signs of hypovolemic shock?

In an emergency scenario, what should the nurse prioritize first for a client with abdominal trauma and signs of hypovolemic shock?

• A. Administer 1 L 0.9% normal saline IV
• B. Draw a complete blood count (CBC)
• C. Obtain an abdominal x-ray
• D. Insert an indwelling urinary catheter

Answer: (A)

In an emergency scenario involving a client with abdominal trauma and signs of hypovolemic shock, the first priority should be to address the patient's immediate physiological needs. Administering intravenous fluids, specifically 1 liter of 0.9% normal saline, is critical in this situation. Hypovolemic shock occurs when there is a significant loss of blood volume, leading to inadequate tissue perfusion and oxygenation. By administering normal saline, the nurse aims to rapidly restore circulating blood volume, improve perfusion to vital organs, and stabilize the patient. This fluid resuscitation is vital in mitigating the risks associated with shock, such as organ failure and death. Following this stabilization action, further assessments such as imaging or laboratory tests can be performed to determine the extent of the trauma and to guide subsequent treatment. However, the immediate need is to ensure that the patient has adequate blood volume and is being monitored closely for any changes in their condition, thus prioritizing the administration of IV fluids.

In an emergency scenario involving a client with abdominal trauma and signs of hypovolemic shock, the first priority should be to address the patient's immediate physiological needs. Administering intravenous fluids, specifically 1 liter of 0.9% normal saline, is critical in this situation. Hypovolemic shock occurs when there is a significant loss of blood volume, leading to inadequate tissue perfusion and oxygenation.

By administering normal saline, the nurse aims to rapidly restore circulating blood volume, improve perfusion to vital organs, and stabilize the patient. This fluid resuscitation is vital in mitigating the risks associated with shock, such as organ failure and death.

Following this stabilization action, further assessments such as imaging or laboratory tests can be performed to determine the extent of the trauma and to guide subsequent treatment. However, the immediate need is to ensure that the patient has adequate blood volume and is being monitored closely for any changes in their condition, thus prioritizing the administration of IV fluids.