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A Client with Blunt Trauma Undergoes an Exploratory Laparotomy to Repair

Question 20

Multiple Choice

A client with blunt trauma undergoes an exploratory laparotomy to repair the intraabdominal injury.  After 24 hours, the client has a nasogastric tube attached to continual low suction, 2 Hemovac closed-wound suction abdominal drains, and is receiving IV Ringer's lactate and continual epidural morphine.  The client now develops hypotension, tachycardia, oliguria, and severe nausea.  What is the client's priority nursing diagnosis (ND) at this time?


A) Deficient fluid volume
B) Impaired urinary elimination
C) Nausea
D) Risk for infection

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