Question

You are caring for a 59-year-old male involved in a motor-vehicle crash. During your assessment, you note that his pelvis is unstable, he is pale and diaphoretic, and his blood pressure is 80/50 mm Hg. Use of the pneumatic antishock garment (PASG) would be absolutely contraindicated if further assessment of this patient revealed:

1) Coarse crackles in the lungs
2) Collapsed jugular veins
3) Bilateral femur fractures
4) A rigid, distended abdomen

Answer 1

Coarse crackles in the lungs

Step-by-step explanation:

The correct answer is: 1) Coarse crackles in the lungs

When a patient's pelvis is unstable and they are experiencing signs of shock, the use of a pneumatic antishock garment (PASG) can help stabilize their condition. However, if further assessment reveals coarse crackles in the lungs, it suggests the presence of pulmonary edema or fluid in the lungs. In this case, the PASG would be contraindicated because it can further compromise breathing and oxygenation.