The nurse is caring for a client with neurogenic shock that has just arrived in the emergency department after a diving accident. He has a cervical collar in place. Which of the following actions should the nurse take? (Select all that apply.)
A)Prepare to administer atropine IV.
B)Obtain baseline body temperature.
C)Prepare for intubation and mechanical ventilation.
D)Administer large volumes of lactated Ringer's solution.
E)Administer high-flow oxygen (100%) by non-rebreather mask.

Question

Quizplus · Accepted Answer

All of the actions are appropriate except to give large volumes of lactated Ringer's solution. The client with neurogenic shock usually has a normal blood volume, and it is important not to volume overload the client. In addition, lactated Ringer's solution is used cautiously in all shock situations because the failing liver cannot convert lactate to bicarbonate.

The Nurse Is Caring for a Client with Neurogenic Shock