A patient with suspected neurogenic shock after a diving accident has arrived in the emergency department. A cervical collar is in place. Which actions should the nurse take (select all that apply)?
a. Prepare to administer atropine IV.
b. Obtain baseline body temperature.
c. Infuse large volumes of lactated Ringer's solution.
d. Provide high-flow oxygen (100%) by non-rebreather mask.
e. Prepare for emergent intubation and mechanical ventilation.
ANS: A, B, D, E
All of the actions are appropriate except to give large volumes of lactated Ringer's solution. The patient with neurogenic shock usually has a normal blood volume, and it is important not to volume overload the patient. In addition, lactated Ringer's solution is used cautiously in all shock situations because the failing liver cannot convert lactate to bicarbonate.
You might also like to view...
A patient admitted to the clinic complains of a lack of interest in most things, but especially food. After a comprehensive examination, the nurse suspects which disorder?
1. Pica 2. Bulimia nervosa 3. Rumination disorder 4. Avoidant/restrictive food intake disorder
The nurse administering timolol drops to a patient with glaucoma is aware that the patient may experience which of the following vital-sign changes?
A) Hyperthermia and tachycardia B) Hypotension and tachycardia C) Hypothermia and bradycardia D) Hypotension and bradycardia
The nurse is conducting a physical examination of a patient's heart. Where will the nurse place the stethoscope to best assess the S1 heart sound?
1. Left midclavicular line at the fifth intercostal space 2. Left sternal border at the fifth intercostal space 3. Right midclavicular line at the fifth intercostal space 4. Right sternal border at the third intercostal space
The nurse is caring for a thin-framed adult who is scheduled to receive multiple doses of antineoplastic medication. The nurse should expect the dosage for this person to be:
a. lower than normal. b. higher than normal. c. divided in half. d. unchanged.