A victim of a motor vehicle crash is brought to the emergency department for treatment. What manifestations should the nurse recognize as being consistent with neurogenic shock? (Select all that apply.)
1. Slow heart rate
2. Cool, clammy skin
3. Low blood pressure
4. Large volume urine output
5. Elevated body temperature
Answer: 1, 3
1. Bradycardia is a cardiovascular manifestation of neurogenic shock.
2. In neurogenic shock the skin is warm and dry.
3. Hypotension is a cardiovascular manifestation of neurogenic shock.
4. In neurogenic shock the client will have oliguria or anuria.
5. In neurogenic shock the client will have a lower body temperature.
You might also like to view...
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following?
A) A hypersensitivity reaction B) The tumor responding to treatment C) Nephrotoxic effects of tamoxifen D) Cardiomyopathy
A vaginal examination on a laboring client reveals that the biparietal diameter of the fetal head is at +2 station. This indicates that the fetal head is
a. achieving attitude c. below the ischial spines b. reaching ballottement d. floating above "0" station
The nurse instructs the lactating mother with mastitis about preventing future episodes by:
A) feeding the infant from only one breast during each feeding. B) alternating breasts every 2 minutes during each feeding. C) not breastfeeding the infant at night. D) thoroughly emptying both breasts to prevent engorgement.
The greatest drawback to the routine use of antibacterial hand soaps and gels is that they:
1. Are expensive 2. Irritate the skin 3. Kill resident flora 4. Encourage resistant bacteria