Tam, a college student, accidentally drops a pair of scissors on his foot one night, and the sharp edge cuts his foot. The cut does not stop bleeding, and Tam realizes he had forgotten to take his pills that morning. He goes to the campus emergency center and tells a nurse what had happened. What would a nurse MOST LIKELY do to stop the bleeding quickly and effectively? a. apply a hemostatic drug directly on the cut so that clotting factors from the drug help the blood to clot.
b. apply clopidogrel directly on the cut so that platelet aggregation is inhibited and blood is able to come together in a clot.
c. administer a shot of a hemostatic drug in the arm so that the liver produces fewer clotting factors.
d. administer a shot of heparin deep into a vein in order to block clotting factor X and stop heavy blood flow to the foot.

Carlos adams was involved in a motor vehicle accident and suffered blunt trauma to his abdomen. upon presentation to the emergency department, his vital signs are as follows: temperature, 100.9 f; heart rate, 120 bpm; respiratory rate, 20 breaths/min; and blood pressure, 90/54 mm hg. his abdomen is firm, with bruising aroung the umbilicus. he is alert and oriented, but complains of dizziness when changing positions. the patient is admitted for management of suspected hypovolemic shock. the following orders are written for the patient: place two large-bore ivs and infuse 0.9% ns at 125 ml/hr/line obtain complete blood count, serum electrolytes oxygen at 2 l/min via nasal cannula type and cross for 4 units of blood flat plate of abdomen stat questions: a. describe the pathophysiologic sequence of events seen with hypovolemic shock. b. what are the major goals of medical management in this patient? c. what is the rationale for placing two large-bore ivs? d. what are the advantages of using 0.9% ns in this patient? e. what is the rationale for placing in a modified trendelenburg position?