34) A patient with neurogenic shock has just arrived in the emergency department aftera driving accident. He has a cervical collar in place. Which of the following actionsshould the nurse take? (select all that apply)(a) Prepare to administer atropine IV(b) Obtained baseline body temperature(c) Prepare for intubation and mechanical ventilation(d) Administer large volumes of lactated Ringer’s solution(e) Assist the patient into a semi fowler’s position
Question
- A patient with neurogenic shock has just arrived in the emergency department aftera driving accident. He has a cervical collar in place. Which of the following actionsshould the nurse take? (select all that apply)(a) Prepare to administer atropine IV(b) Obtained baseline body temperature(c) Prepare for intubation and mechanical ventilation(d) Administer large volumes of lactated Ringer’s solution(e) Assist the patient into a semi fowler’s position
Solution
The nurse should take the following actions:
(a) Prepare to administer atropine IV: This is correct. Atropine is often used in neurogenic shock to increase heart rate and improve blood pressure.
(b) Obtain baseline body temperature: This is correct. It's important to monitor the patient's body temperature as neurogenic shock can disrupt the body's ability to regulate temperature.
(c) Prepare for intubation and mechanical ventilation: This is correct. Neurogenic shock can affect the patient's ability to breathe, so intubation and mechanical ventilation may be necessary.
(d) Administer large volumes of lactated Ringer’s solution: This is incorrect. While fluids are often used in the treatment of shock, neurogenic shock is not typically associated with fluid loss. Therefore, administering large volumes of fluid could potentially lead to fluid overload.
(e) Assist the patient into a semi fowler’s position: This is correct. The semi fowler’s position can help improve the patient's breathing and circulation.
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