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A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

A.

Hematuria

B.

Impaired taste

C.

Diarrhea

D.

Increased thirst

Answer and Explanation

The Correct Answer is A

A. Hematuria: This is the correct answer. Hematuria, which is the presence of blood in  the urine, can be a common complication of pelvic fractures. This occurs due to the  potential injury to the bladder or other structures within the pelvis. Monitoring for  hematuria is crucial in assessing potential internal injuries and ensuring appropriate  management. 

B. Impaired taste: Impaired taste is not typically associated with pelvic fractures. It is  more likely related to conditions involving the sense of taste or other unrelated factors. It  is not a common complication of pelvic fractures. 

C. Diarrhea: Diarrhea is not a common complication of pelvic fractures. It is more likely  to be caused by gastrointestinal issues, infections, dietary factors, or other medical  conditions. It is not directly related to pelvic fractures or their complications. 

D. Increased thirst: Increased thirst is not a common complication of pelvic fractures. It  may be related to various factors such as dehydration, certain medical conditions like  diabetes, or side effects of medications. It is not a direct consequence of pelvic fractures  or their associated complications.


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Related Questions

Correct Answer is D

Explanation

A. Protective isolation is not routinely required for clients following scoliosis repair unless there is an underlying infection risk.
B. A PCA pump may be used for pain control, but it is not specific to post-scoliosis repair care.
C. Keeping the head of the bed at 30° is not required; positioning should focus on spinal alignment.
D. Log rolling the client every 4 hours is essential to maintain spinal alignment, prevent complications, and ensure safety following Harrington rod instrumentation.

Correct Answer is C

Explanation

A. Mild erythema (redness) at the pin sites can be a normal finding due to the body's response to the presence of foreign objects. It may not necessarily indicate infection.

B. Serosanguineous drainage (a mixture of clear and bloody fluid) can also be a normal finding initially after the insertion of pins. It may not necessarily indicate infection.

C. Fever is a systemic response to infection. In a client with skeletal traction, fever can be an indication of an infection at the pin sites or a more systemic infection related to the traction device.

D. Warmth around the pin sites can be a normal finding due to the inflammatory response that occurs after pin insertion. It may not necessarily indicate infection.

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