The nurse believes a client is experiencing a reaction to a ...

[Charlie]

The nurse believes a client is experiencing a reaction to a traumatic event when which of the following is assessed? (Select all that apply.)
 
  1. Client is not responding verbally to assessment questions.
  2. Client complains of dizziness.
  3. Client's blood pressure is 120/80 mmHg.
  4. Client complains of nausea.
  5. Client asks for medication for a headache.
  6. Client asks for something to drink.

Question 2

A client has sustained trauma to the trigone portion of the bladder. The nurse realizes that which of the following will be affected in this client?
 
  1. The ureters and urethra
  2. The nephrons
  3. The detrusor muscle will spasm
  4. The ability to concentrate urine will be lost

[phuda]

Answer to Question 1

1, 2, 4, 5
Common responses to a traumatic event include silence or not responding to verbal stimuli, dizziness, nausea, and headache. A blood pressure of 120/80 mmHg is considered normal. The client requesting something to drink is not a reaction to a traumatic event.

Answer to Question 2

1
The trigone of the bladder accommodates the orifices of the ureters and the urethra. The nephrons are the functional unit of the kidney. Trauma to the trigone portion of the bladder may or may not cause detrusor muscle spasms. Damage to the bladder will not cause the kidney to lose the ability to concentrate urine.