Exhibits

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The nurse should anticipate a provider's prescription for a(n)

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and

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A. Insert an indwelling urinary catheter: Monitoring urine output is essential for assessing renal perfusion and fluid status. However, it should be done only after hemodynamic stability is established and internal bleeding is ruled out, as catheterization can pose risks if pelvic fractures are present.
B. Administer packed RBCs: Blood transfusion is necessary if the client is actively bleeding or hemodynamically unstable. However, access must first be secured to safely administer the transfusion, making IV insertion a priority.
C. Place a large-bore IV catheter in an upper extremity: Establishing IV access is the first step in stabilizing a trauma patient. It allows for rapid fluid resuscitation, administration of medications, and drawing of lab specimens necessary for further assessment.
D. Obtain a specimen for ABG analysis: Evaluating gas exchange and acid-base balance is important in trauma care, but it is not immediately life-saving. It should follow stabilization efforts like fluid resuscitation and hemorrhage control.

A. Encourage the client to talk about his feelings: At a panic level of anxiety, the client’s ability to process information and communicate is significantly impaired, making it difficult to engage in meaningful conversation. This approach might increase frustration or agitation.
B. Use short sentences when communicating with the client: Using simple, clear, and concise sentences helps the client focus and understand instructions during a panic episode when cognitive processing is limited and overwhelmed.
C. Have the client journal about what is happening to him: Writing requires concentration and calm, which the client at a panic level of anxiety is unlikely to have, making journaling ineffective and potentially frustrating in this moment.
D. Tell the client to sit alone in a private place and reflect on the situation: Isolation during a panic attack can increase feelings of fear and abandonment. Providing supportive presence is more effective in helping the client regain control.