A Nurse Assesses a Client Who Experienced a Spinal Cord

question 22

Multiple Choice

A nurse assesses a client who experienced a spinal cord injury at the T5 level 12 hours ago.Which manifestations should the nurse correlate with neurogenic shock? (Select all that apply.)

• A) Heart rate of 34 beats/min
• B) Blood pressure of 185/65 mm Hg
• C) Urine output less than 30 mL/hr
• D) Decreased level of consciousness
• E) Increased oxygen saturation

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Definitions:

Problem-Solving Process

A systematic approach to finding a solution to a complex issue or obstacle, typically involving identifying the problem, generating options, and selecting a course of action.

Identifying Problems

The process of recognizing issues that can be addressed or solved.

IDEAS Process

An acronym standing for Identify, Determine, Evaluate, Act, and Study, used as a methodological approach in problem-solving and decision-making.

Situational Outcome

The result or consequence of a particular set of circumstances, which may vary depending on different factors or decisions.