The Patient Is Admitted with Injuries That Were Sustained in a Fall

question 22

Multiple Choice

The patient is admitted with injuries that were sustained in a fall. During the nurse's first assessment upon admission, the findings are: blood pressure 90/60 (as compared to 136/66 in the emergency department) , flaccid paralysis on the right, absent bowel sounds, zero urine output, and palpation of a distended bladder. These signs are consistent with which of the following?

• A)paralysis
• B)spinal shock
• C)high cervical injury
• D)temporary hypovolemia

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