Question

The client comes to the emergency department after suffering a bilateral traumatic amputation of his lower extremities. The physician orders normal serum albumin (Albuminar). The client goes into shock. What will the best nursing assessment of this client reveal?

1. B/P: 130/88 mm/Hg, P: 90, bounding, R: 32, and shallow.
2. B/P: 50/0 mm/Hg, P: 126, weak and thready, R: 14, and shallow.
3. B/P: 80/20 mm/Hg, P: 122, weak and thready, R: 28, and shallow.
4. B/P: 140/90 mm/Hg, P: 46, weak and irregular, R: 24, and shallow.

Answer 1

The best nursing assessment of a client who has suffered a bilateral traumatic amputation of his lower extremities and given normal serum albumin would reveal a significant drop in blood pressure, weak and thready pulse, rapid and shallow breathing, and signs of confusion or loss of consciousness.

Step-by-step explanation:

In the case of a client who has suffered a bilateral traumatic amputation of his lower extremities and has been given normal serum albumin, the best nursing assessment would reveal a significant drop in blood pressure, weak and thready pulse, rapid and shallow breathing, and signs of confusion or loss of consciousness. Option 2, which shows a blood pressure of 50/0 mm/Hg, weak and thready pulse, and shallow breathing, best fits this description.