CASE STUDY 2A 45-year-old client is a restrained driver invo…
CASE STUDY 2A 45-year-old client is a restrained driver involved in a high-speed motor vehicle collision (MVC) involving a frontal impact. Pre-hospital Report by EMS states time of Injury was approximately 45 minutes ago. The client self-extricated themselves from the vehicle but complained of severe back and abdominal pain. Vitals on scene: BP 85/60 mmHg, HR 125 bpm, RR 20 breaths/min O2 Sat 90% RA, GCS 15. EMS interventions include cervical collar placement, securement to a long spine board, one large-bore IV established, O2 via nasal cannula. The client received a 500 mL of warmed NS while enroute. Upon arrival, the client is alert, oriented, and answers questions appropriately. Pain rated at 9/10 in the T1 to L1 spine and generalized abdominal area. Current vitals include BP 90/70 mmHg, HR 110 bpm, RR 20 breaths/min, O2Sat, 98% on nasal cannula at 2L. The client is currently in the Trauma Bay, secured to a backboard with a cervical collar and straps.Which of the following will the nurse expect to perform related to circulation in the primary assessment for the suspected internal hemorrhage?