A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

The client who has chronic kidney disease

The client experiencing an asthma attack

The client who has Guillain-Barré syndrome

The client who has a severe burn injury

Answer and Explanation

The Correct Answer is C

A.   This client is at risk for other complications such as electrolyte imbalances or heart failure, but not specifically neurogenic shock.
B.   This client is experiencing respiratory distress, which is a different type of shock (anaphylactic or septic shock might be considered, but not neurogenic).

C.   Guillain-Barré syndrome is an autoimmune disorder that affects the nervous system, often leading to paralysis. It can cause a rapid loss of muscle function, which can result in neurogenic shock due to loss of sympathetic nervous system tone.
D.   This client is at risk for hypovolemic shock due to fluid loss, not neurogenic shock.

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Correct Answer is D

Explanation

A. Severe blood loss actually decreases blood volume, which leads to decreased cardiac output and ultimately lower MAP.
B. While it's true that the body initially responds to blood loss by vasoconstricting to maintain blood pressure, this compensatory mechanism can only last for so long. As blood loss continues, MAP will decrease.
C. There is no direct correlation to MAP. MAP is directly influenced by cardiac output and systemic vascular resistance (SVR). Blood volume is a major determinant of both.
D. A decrease in blood volume leads to decreased preload, which reduces cardiac output. This, in turn, lowers MAP.

A. Slows intestinal motility B. Relieves pain C. Prevents dysrhythmias D. Dissolves blood clots

Correct Answer is C

Explanation

A. This is the action of medications like anticholinergics, not lidocaine.
B. Lidocaine does have local anesthetic properties, but it's not used in this context to relieve pain. It's used for its anti-arrhythmic properties.
C. Lidocaine is a class IB anti-arrhythmic medication. It suppresses abnormal heart rhythms, making it a crucial drug in treating cardiac arrest.
D. This is the action of thrombolytic medications like tissue plasminogen activator (tPA), not lidocaine.

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A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse who is mentoring a graduate nurse explains the correlation between severe blood loss and the effect on the client's mean arterial pressure (MAI The graduate nurse demonstrates correct understanding when he states which of the following:

Correct Answer is D

Explanation

A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

Correct Answer is C

Explanation

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