Author Question: A patient with suspected neurogenic shock after a diving accident has arrived in the emergency ... (Read 37 times)

Evvie72 · **on:** Jun 25, 2018

A patient with suspected neurogenic shock after a diving accident has arrived in the emergency department. A cervical collar is in place. Which actions should the nurse take (select all that apply)?

a. Prepare to administer atropine IV.
b. Obtain baseline body temperature.
c. Infuse large volumes of lactated Ringer's solution.
d. Provide high-flow oxygen (100) by non-rebreather mask.
e. Prepare for emergent intubation and mechanical ventilation.

Question 2

Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shock is most important for the nurse to communicate to the health care provider?

a. The patient's urine output is 18 mL/hr.
b. The patient's heart rate is 110 beats/minute.
c. The patient is complaining of chest pain.
d. The patient's peripheral pulses are weak.

meganlapinski · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D, E
All of the actions are appropriate except to give large volumes of lactated Ringer's solution. The patient with neurogenic shock usually has a normal blood volume, and it is important not to volume overload the patient. In addition, lactated Ringer's solution is used cautiously in all shock situations because the failing liver cannot convert lactate to bicarbonate.

Answer to Question 2

ANS: C
Because vasopressin is a potent vasoconstrictor, it may decrease coronary artery perfusion. The other information is consistent with the patient's diagnosis and should be reported to the health care provider but does not indicate a need for a change in therapy.