Nursing care for a client in hypovolemic shock caused by trauma should include
a. giving narcotics for pain relief.
b. maintaining a cool environment.
c. placing the client in Trendelenburg position.
d. providing nasogastric suctioning.
D
An early physiologic response to shock is a decrease in splanchnic circulation. This reduces blood supply to the stomach and bowel, causing inadequate gastrointestinal tissue perfusion and delayed gastric emptying; thus vomiting with aspiration of gastric contents into the lungs may occur. For this reason and for diagnostic purposes, nasogastric suction is often used during treatment of shock.
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