The nurse is assessing a patient being treated for neurogenic shock after a spinal cord injury. Which of the following would indicate that the patient is improving?
1. flushed and dry, warm skin
2. heart rate of 70 bmp
3. temperature of 97.8°f
4. blood pressure of 90/60
2
Rationale: The patient experiencing neurogenic shock will exhibit bradycardia, hypothermia, absence of diaphoresis and hypotension as a result of sympathetic nervous system interruption. A heart rate of 70 is the only clinical finding that indicates an improvement in this type of patient.
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