In a patient who has suffered blunt abdominal trauma, what should a nurse monitor for?

In a patient who has suffered blunt abdominal trauma, monitoring for signs of abdominal compartment syndrome, including increased abdominal pressure, is of paramount importance. Abdominal compartment syndrome occurs when increased pressure within the abdominal cavity compromises organ function. Following blunt trauma, internal bleeding or swelling can lead to this dangerous condition.

The signs of abdominal compartment syndrome may include profound abdominal distention, increased abdominal tension, and elevated intra-abdominal pressures. This condition can lead to decreased blood flow to the organs and can result in multi-organ failure if not addressed promptly. Therefore, vigilant monitoring for increased abdominal girth, severe pain, and changes in vital signs is crucial in these patients.

While other choices may suggest additional health concerns, they are less specific to the immediate complications associated with blunt abdominal trauma. For instance, fever and chills might be indicative of an infection, which, while important, is a secondary concern. Changes in level of consciousness could indicate other forms of neurological compromise following trauma, but they are not directly related to the specific complications arising from abdominal injury. Skin rash or lesions are generally unrelated to blunt abdominal trauma and do not pertain to the immediate complications after such an injury. Thus, monitoring for signs of abdominal compartment syndrome remains the most critical factor in managing a patient with