The nurse is caring for multiple clients in the emergency department. The client with which condition is at highest risk for distributive shock?
a. Severe head injury from a motor vehicle accident
b. Diabetes insipidus from polycystic kidney disease
c. Ischemic cardiomyopathy from severe coronary artery disease
d. Vomiting of blood from a gastrointestinal ulcer
A
Distributive shock is the type of shock that occurs when blood volume is not lost from the body but is distributed to the interstitial tissues, where it cannot circulate and deliver oxygen. Neural-ly-induced distributive shock may be caused by pain, anesthesia, stress, spinal cord injury, or head trauma. The other clients are at risk for hypovolemic and cardiogenic shock.
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