The nurse is caring for a client in anaphylactic shock. The nurse knows the following to be accurate about anaphylactic shock: (select all that apply) A. respiratory status may decline rapidly. B. venous return is reduced. C. only intravenous epinephrine can be used. D. tachycardia does not occur due to impairment of the sympathetic nervous syster; E. decreased stroke volume (SV) occurs due to vasodilation. F. central venous pressure (CVP) will be elevated. G. systemic vascular resistance (SVR) will be elevated.What are the clinical manifestations of Cushing’s Triad? (Select all that apply) A. Bradypnea B. Tachypnea C. Systolic hypotension with widening pulse pressure. D. Systolic hypertension with widening pulse pressure E. Systolic hypertension with narrowing pulse pressure F. Hypothermia G. Bradycardia H. Tachycardia40.A 48-year-old male client presents to the emergency department with a sudden onset headache. Nursing Notes: 1000: The client reports headache pain that came on suddenly stating “it is the worst headache of my life”. Reports taking 650 mg of Tylenol prior to coming into the emergency department with no relief. Currently rates his pain 9/10 on a 1-to-10 pain scale and is unable to fully extend his neck. The client is able to move all four extremities against gravity and resistance. He describes experiencing intermittent headaches accompanied by a few episodes of vomiting over the last two weeks. The client has a history of hypertension, hyperlipidemia, and a family history of cerebral aneurysms. He is a current smoker and admits to drinking “a few beers a day”. Vital signs: Temp 98.9, HR 110 (sinus tachycardia), BP 180/93, RR 19, 02 94% on RA Which three findings require immediate follow-up? A. BP of
[Solved]: The nurse is caring for a client in anaphylactic shock
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