When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:
Answer(s): A
(A) Neurogenic shock is caused by injury to the cervical region, which leads to loss of sympathetic control. This loss leads to vasodilation of the vascular beds, bradycardia resulting from the lack of sympathetic balance to parasympathetic stimuli from the vagus nerve, and the loss of the ability to sweat below the level of injury. In neurogenic shock, the client is hypotensive but bradycardiac with warm, dry skin. (B) In hypovolemic shock, the client ishypotensive and tachycardiac with cool skin. (C) In hypovolemic shock, the capillary refill would be>5 seconds. (D) In neurogenic shock, there is no capillary delay, the vascular beds are dilated, and peripheral flow is good.
The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:
Answer(s): B
(A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow-green halos. (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions. (C) Side effects of quinidine include heart block, hepatotoxicity, thrombocytopenia, and respiratory depression. (D) Side effects of nitroglycerin include postural hypotension, headache, dizziness, and flushing.
A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?
Answer(s): C
(A) Blood pressure can remain normotensive even in a state of hypovolemia. (B) Serum potassium is not reliable for determining adequacy of fluid resuscitation. (C) Urine output, alteration in sensorium, and capillary refill are the most reliable indicators for assessing adequacy of fluid resuscitation. (D) Pulse rate may vary for many reasons and is not a reliable indicator for assessing adequacy of fluid resuscitation.
Share your comments for NCLEX NCLEX-RN exam with other users:
cbd and pdb are key to the database
the purchase and download process is very much streamlined. the xengine application is very nice and user-friendly but there is always room for improvement.
please upload p_sapea_2023
anyone use this? the question dont seem to follow other formats and terminology i have been studying im getting worried
good questions
hello are these questions valid for ms-102
some questions are wrongly answered but its good nonetheless
how to get system serial number using intune
is it really helpful to pass the exam
#229 in incorrect - all the customers require an annual review
kindy upload
fantastic assessment on psm 1
56 question correct answer a,b
thank you for providing the q bank
true quesstions
i can´t believe ms asks things like this, seems to be only marketing material.
hi, could you please add the last update of ns0-527
question #3 refers to vnet4 and vnet5. however, there is no vnet5 listed in the case study (testlet 2).
sometimes it may be good some times it may be
qs 4 answer seems wrong- please check
very detailed explanation !
the interactive nature of the test engine application makes the preparation process less boring.
very useful.
complete question dump should be made available for practice.
i just passed my first exam. i got 2 exam dumps as part of the 50% sale. my second exam is under work. once i write that exam i report my result. but so far i am confident.
nice create dewey stefen
i just wrote this exam and it is still valid. the questions are exactly the same but there are about 4 or 5 questions that are answered incorrectly. so watch out for those. best of luck with your exam.
passed my exam today. this is a good start to 2023.
great sharing
very helpful
thanks.. very helpful
i registered for 1z0-1047-23 but dumps qre available for 1z0-1047-22. help me with this...
please upload oracle 1z0-1110-22 exam pdf