A hemodynamically stable adult with blunt abdominal trauma has a grade IV splenic laceration with a moderate contrast blush on CT. Which statement best reflects current nonoperative management principles that the trauma nurse should anticipate?
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A
Immediate splenectomy is required for all grade IV injuries regardless of hemodynamic status
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B
Angioembolization is considered for a contrast blush in a stable patient, with serial abdominal exams and hemoglobin monitoring in a monitored setting
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C
Discharge after a 6-hour observation period if the repeat hemoglobin is unchanged
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D
Nonoperative management is contraindicated because contrast extravasation always signals imminent hemodynamic collapse