A 19-year-old patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?
a. Inspiratory crackles.
b. Cool, clammy extremities.
c. Apical heart rate 45 beats/min.
d. Temperature 101.2° F (38.4° C).
ANS: C
Neurogenic shock is characterized by hypotension and bradycardia. The other findings would be more consistent with other types of shock.
You might also like to view...
A neurosurgeon has performed a cordotomy on a client having intractable pain. Which of the following procedures is involved in a cordotomy?
A) Surgical sectioning of a nerve root close to the spinal cord B) Delivering bursts of electricity to the skin and underlying nerves C) Surgical interruption of pain pathways in the spinal cord D) Connecting electromyography machine to control pain
Which does the nurse implement to collect a timed urine specimen?
1. Keep client on the unit during the test. 2. Remove waste from urine before saving it. 3. Save all urine from the time the test begins. 4. Leave the collection bottle in client's bathroom.
The nurse is preparing to administer enteral nutrition to a patient who has had a stroke and who cannot swallow. A family member asks why the patient isn't receiving intravenous nutrition
What information will the nurse provide to the family member? a. Parenteral nutrition carries a higher risk of infection. b. Parenteral nutrition does not provide sufficient calories. c. Parenteral nutrition increases the risk of aspiration. d. Parenteral nutrition is hyperosmolar and increases the risk of dehydration.
A client's plan of care includes revoking privileges for inappropriate behavior, based on a contract between the client and the nurse who wrote the plan
Another nurse decides to ignore this, because the client promises that she will adhere to the contract in the future. The second nurse's behavior may have violated which ethical principle? A) Veracity B) Beneficence C) Autonomy D) Fidelity