Final answer:
The APRN should suspect neurogenic shock based on the presented symptoms and spinal injury at T5. Vital signs and weak pulses point towards this type of shock. The care team must manage cardiovascular stabilization, fracture treatment, and prevent complications.
Step-by-step explanation:
The advanced practice registered nurse (APRN) should suspect the possibility of neurogenic shock in this patient. The clinical presentation of low blood pressure (BP 102/52), bradycardia (apical pulse: 48), weak peripheral pulses, flaccid lower extremities, and severe bruising of the femur suggests an injury to the spinal cord around the thoracic 5 (T5) level, which could interrupt sympathetic outflow. This can lead to vasodilation, decreased vascular resistance, and poor tissue perfusion characteristic of neurogenic shock.
The patient care team, which includes the surgeon, nurse, and anesthesia professional, must collaboratively review the key concerns for the recovery and care of the patient. This would involve addressing the immediate needs to stabilize the patient's cardiovascular status, managing the compound fracture, and preventing complications such as further neurological damage or infection.