A nurse in the ICU receives report from the nurse in the emergency department about a new patient being admitted with a neck injury he received while diving into a lake
The emergency-department nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. What does the ICU nurse recognize that that patient is probably experiencing?
A) Anaphylactic shock
B) Neurogenic shock
C) Septic shock
D) Hypovolemic shock
Ans: B
Feedback: Neurogenic shock can be caused by spinal cord injury. In this case, it resulted from diving into waters of unknown depth. The patient will present with a low blood pressure; bradycardia; and warm, dry skin due to the loss of sympathetic muscle tone and increased parasympathetic stimulation. Option A is incorrect; anaphylactic shock is caused by an identifiable offending agent such as a bee sting. Option C is incorrect; septic shock is caused by bacteremia in the blood and presents with a tachycardia. Option D is incorrect; hypovolemic shock presents with tachycardia and a probable source of blood loss.
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