A Patient with Massive Trauma and Possible Spinal Cord Injury

question 1

Multiple Choice

A patient with massive trauma and possible spinal cord injury is admitted to the ED. The nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock, based on the finding of

• A) cool, clammy skin.
• B) shortness of breath.
• C) heart rate of 48 beats/min
• D) BP of 82/40 mm Hg.

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Definitions:

Emotional Hunches

Are intuitive feelings or impressions that someone has, based on emotions rather than on logical or explicit reasoning.

Intuition

The ability to understand or know something immediately, based on feelings rather than facts or evidence.

Big Picture

Understanding of the broader, overall perspective or situation rather than just focusing on details.

Insight

An ability to know what information is relevant, to find connections between the old and the new, to combine facts that are unrelated, and to see the “big picture”