6. Following an auto accident, a client's vital signs and hematocrit will be monitored for 24 hours for signs of internal bleeding. During this time, the client should receive:
6. Following an auto accident, a client's vital signs and hematocrit will be monitored for 24 hours for signs of internal bleeding. During this time, the client should receive:
. High-carbohydrate clear liquids orally.
. High-protein liquids via nasogastric tube.
. Intravenous total parenteral nutrition.
. Nothing by mouth.
Test-Taking Tip
Three options involve ingestion of food or fluid. Choose the option that is different.
Content Area: Adult Health, Hematological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
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Answer 1 is incorrect because the client should not have any foods or fluid externally to avoid surgical delays, aspiration risk, or leakage of ingested substances out of damaged viscera. Answer 2 is incorrect because the client should not have any food or fluid internally to avoid surgical delays, aspiration risk, or leakage of ingested substances out of damaged viscera. Answer 3 is incorrect because the risks of TPN are not warranted in this client who may only be NPO for a day or two. Answer 4 is correct because, if internal bleeding is present, the client will need to go to surgery. Keep the client NPO to avoid surgical delays, aspiration risk, or leakage of ingested substances out of damaged viscera.