Which assessment finding most strongly suggests neurogenic shock after a spinal cord injury?

Correct answer: B. Hypotension with bradycardia and warm dry skin

  • A. Hypotension with tachycardia and cool clammy skin
  • B. Hypotension with bradycardia and warm dry skin
  • C. Hypertension with bounding pulse and cold skin
  • D. Fever with purulent drainage and rapid pulse

Explanation

Neurogenic shock results from loss of sympathetic vascular tone and may cause hypotension, bradycardia, and warm dry skin. Tachycardia with cool clammy skin is more typical of hypovolaemic shock, while fever and infection suggest septic shock.

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About Burns and Trauma Nursing

Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.

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