The staff educator is orientating a nurse new to the neurological ICU when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock
What sign or symptom is consistent with this diagnosis?
A) Increased cardiac biomarkers
B) Hypotension
C) Tachycardia
D) Excessive sweating
B
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A client tells the nurse about losing weight and regaining it multiple times. Besides eating and exercising habits, for what additional data should the nurse assess as the priority?
a. Economic ability to join a gym b. Food allergies and intolerances c. Psychosocial influences on weight d. Reasons for wanting to lose weight
When a nurse is transferring a client with left-sided weakness from the bed to a wheelchair, the client should be transferred in which direction?
a. from left to right b. the direction of convenience for the nurse c. from right to left d. no preferred direction
The nurse is concerned that a 10-year-old patient injured in a motor vehicle accident may be developing septic shock
Which assessment findings would support this concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The heart rate is 120 bpm sustained. 2. The patient has thready peripheral pulses. 3. The patient is crying. 4. Capillary refill is 2 seconds. 5. The patient has diarrhea.
What key questions must you ask this patient while you have the use of an interpreter?
What will be an ideal response?