Shock, Burns, SCI, and Emergency Nursing NCLEX Study Questions | 157 Questions and Answers Graded A+

After falling from a 10' ladder, a patient is brought to the emergency department. The patient is alert, reports back pain, and difficulty moving the lower extremities. Which additional observation is an indication the patient may be experiencing neurogenic shock? A. Cool and pale skin B. Increased systolic blood pressure C. Poor skin turgor D. Bradycardia - D. Bradycardia A patient who is in hypovolemic shock has the following clinical signs: Heart rate 120 beats/minute, blood pressure 80/55 and urine output 20ml/hr. After administering an IV fluid bolus, which of these signs if noted by the healthcare provider is the best indication of improved perfusion? A. Right atrial pressure increases B. Systolic blood pressure increases to 85 C. Urine output increases to 30ml/hr D. Heart rate drops to 100 beats/minute - C. Urine output increases to 30ml/hr A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98, heart rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40. The healthcare provider suspects which type of shock? A. Cardiogenic B. Hypovolemic C. Neurogenic D. Distributive - B. HypovolemicThe healthcare provider is caring for a patient with a diagnosis of hemorrhagic pancreatitis. The patient's central venous pressure (CVP) reading is 2, blood pressure is 90/50, lung sounds are clear, and jugu lar veins are flat. Which of these actions is most appropriate for the nurse to take? A. Slow the IV infusion rate B. Administer dopamine C. No interventions are needed at this time D. Increase the IV infusion rate - D. Increase the IV infusion rate