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    Ati rn 402 med surg proctored exam

    A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

    Explanation & Rationale

    A. The client who has a severe burn injury: Severe burns can lead to hypovolemic or distributive (septic) shock, not neurogenic shock. B. The client who has chronic kidney disease: CKD may lead to electrolyte imbalances or uremia, but not directly to neurogenic shock. C. The client experiencing an asthma attack: This may lead to obstructive shock (due to respiratory failure), not neurogenic shock. D. The client whose head whips violently due to a car crash, causing his neck to hit the steering wheel and fracturing a vertebrae in the cervical region: Neurogenic shock results from spinal cord injury, particularly in the cervical or upper thoracic spine, leading to loss of sympathetic tone, bradycardia, and hypotension.

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