A client has sustained a T4-T5 injury and the nurse suspects he is in neurogenic shock. Which of the following manifestations are consistent with neurogenic shock? Select All that Apply

A hypertension

B rapidly elevating temperature

C bradycardia

D fixed and dilated pupils

E hypotension

Answer and Explanation

Correct Answer : C,E

Choice A Rationale: Hypertension is not a sign of neurogenic shock, but rather of autonomic dysreflexia, a life-threatening condition that can occur in patients with spinal cord injury above T6.

Choice B Rationale: Rapidly elevating temperature is also a sign of autonomic dysreflexia, not neurogenic shock. Neurogenic shock can cause hypothermia due to impaired thermoregulation.

Choice C Rationale: Bradycardia is a sign of neurogenic shock due to the loss of sympathetic stimulation to the heart, which normally increases the heart rate and contractility.

Choice D Rationale: Fixed and dilated pupils are a sign of brain death, not neurogenic shock. Neurogenic shock can cause miosis (constriction of the pupils) due to unopposed parasympathetic stimulation.

Choice E Rationale: Hypotension is a sign of neurogenic shock due to the vasodilation and decreased venous return caused by the loss of sympathetic tone.

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Correct Answer is A

Explanation

Choice A Rationale: Being currently pregnant is a risk factor for developing Bell's Palsy.

Choice B Rationale: Thyroid disease is not a direct risk factor or consistent finding in Bell's Palsy.

Choice C Rationale: Having a seizure disorder is not directly related to Bell's Palsy.

Choice D Rationale: Current smoking is not a risk factor associated with Bell's Palsy

A. A Drain the bladder with a clean intermittent catheter every hour B. B Decrease fluid intake C. C Observe the urine for a foul odor D. D Keep an indwelling catheter in place at all times

Correct Answer is A

Explanation

Choice A Rationale: The nurse will include instructions on draining the bladder with a clean intermittent catheter at appropriate intervals to prevent urinary retention and complications. This should be done every 3 to 6 hours, depending on the amount of fluid intake and output.

Choice B Rationale: Decreasing fluid intake is not typically recommended for individuals with spinal cord injuries, as adequate hydration is important.

Choice C Rationale: Observing the urine for a foul odor is relevant to monitor for urinary tract infections, but it is not a preventive measure.

Choice D Rationale: Keeping an indwelling catheter in place at all times is not typically recommended due to the increased risk of urinary tract infections and other complications.

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A client has sustained a T4-T5 injury and the nurse suspects he is in neurogenic shock. Which of the following manifestations are consistent with neurogenic shock? Select All that Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing the health history of a client, which of the following finding is consistent with a diagnosis of Bell's Palsy?

Correct Answer is A

Explanation

A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?

Correct Answer is A

Explanation

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