Question

A client is transported to the emergency department for a femur fracture following a motor vehicle crash. what action by the nurse is the highest priority?

Answer 1

The action by the nurse is the highest priority Assess vital signs and level of consciousness.

elaborate:

• Femur fractures can cause hypovolemic shock because the tissue loses blood.

• A nurse can determine whether a patient is in shock by checking their vital signs and state of awareness.

• For a patient with a femur fracture, measuring the diameter of the thigh and checking the pedal pulses are suitable procedures, but checking for hypovolemic shock should come first.

• To help manage pain, painkillers should be securely supplied as directed.

• Many painkillers reduce blood pressure.

• The patient's blood pressure can be too low to properly deliver the painkiller if they are in shock.

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