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 A

Explanation

A. This is crucial before administering digoxin. Digoxin slows down the heart rate, and if it's already too slow, administering the medication could be dangerous.
B. Monitoring blood pressure is important for patients on digoxin. However, it's not the priority before administration.
C. This is not necessary before administering digoxin.
D. Weight can influence digoxin dosage but it's not a prerequisite before each administration.

A. Drooling B. Blood pressure at 1800 C. Breath sounds at 1000 D. Hoarse voice E. Temperature at 1800

Correct Answer is ["A","D","E"]

Explanation

A. Drooling
Drooling can be concerning due to impaired swallowing and risk of aspiration.
D. Hoarse voice
Hoarseness after swallowing can indicate aspiration, which is a serious complication for stroke patients due to difficulty swallowing.
E. Temperature at 1800
A temperature of 39.6°C (103.3°F) is significantly elevated and suggests a potential infection, which is a serious complication after a stroke

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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 is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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