A patient you are caring for is noted to have a decrease in blood pressure and heart rate. You know that these are symptoms of neurogenic shock. What do you need to closely observe the patient for?
A) A distended bladder
B) A fecal mass
C) Abrupt onset of fever
D) Sudden hypothermia
Ans: C
Feedback: The vital organs are affected, causing decreases in blood pressure, heart rate, and cardiac output, as well as venous pooling in the extremities and peripheral vasodilation. In addition, the patient does not perspire in the paralyzed portions of the body, because sympathetic activity is blocked; therefore, close observation is required for early detection of an abrupt onset of fever.
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