Which response by a student nurse regarding abdominal trauma in an earthquake survivor indicates a need for further teaching?

The statement made by the student nurse that indicates a need for further teaching is the one about removing an impaled object immediately. In cases of abdominal trauma, especially in disaster scenarios like an earthquake, it is crucial to avoid removing any impaled objects. Doing so can lead to increased bleeding, further injury, or complications, as the object may be acting to seal a wound or prevent additional internal damage.

Proper management includes stabilizing the object rather than removing it, which ensures that the patient's condition remains as stable as possible until definitive medical care can be provided. By leaving the object in place and securing it, health care providers can minimize the risk of further harm while awaiting advanced care.

In contrast, the other responses center around providing supportive care, stabilizing the patient’s condition, and closely monitoring vital signs, all of which are essential practices in managing trauma and ensuring patient safety. These approaches reflect a solid understanding of trauma care principles in emergency situations.