The staff educator is precepting a nurse new to the critical care unit when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock
In addition to monitoring the patient closely, what would be the nurse's most appropriate action?
A) Prepare to transfuse packed red blood cells.
B) Prepare for interventions to increase the patient's BP.
C) Place the patient in the Trendelenberg position.
D) Prepare an ice bath to lower core body temperature.
Ans: B
Feedback:
Manifestations of neurogenic shock include decreased BP and heart rate. Cardiac markers would be expected to rise in cardiogenic shock. Transfusion, repositioning, and ice baths are not indicated interventions.
You might also like to view...
A nurse is administering a mumps vaccine to an adolescent. Which of the following medications should be available when administering an immunization?
A) Diphenhydramine (Benadryl) B) Hydroxyzine (Vistaril) C) Physostigmine D) Epinephrine
A male patient with a history of poorly controlled type 1 diabetes has experienced an accelerated deterioration in his vision and is now considered to be legally blind
When planning this patient's care, the nurse should recognize the possibility of what nursing diagnosis? A) Unilateral neglect B) Decisional conflict C) Ineffective coping D) Moral distress
There are four data sets: A: 1, 1, 1, 1, 1, 10, 10, 10, 10 B: 2, 2, 2, 2, 4, 8, 8, 8, 9 C: 3, 4, 4, 5, 5, 5, 6, 6, 7 D: 1, 2, 3, 4, 5, 6, 7, 8, 9 What is the mean of the four individual data sets?
a. 5, 5, 5, 5 b. 1, 4, 5, 5 c. 1, 2, 5, 5 d. 5
Which clinical manifestations should the nurse expect when assessing a pediatric client who is diagnosed with Legg-Calvé-Perthes disease? Select all that apply
1. Limited abduction of the affected hip 2. Asymmetry of thigh fat folds 3. Telescoping of the thigh 4. Muscle weakness 5. Atrophy of the muscles