identification 1
identification 2
True or False
Prioritization
Select all that apply
100

A medical procedure of Cardiogenic Shock wherein arteries or veins are sewed in place at a site beyond a blovked coronary artery-

Coronary Artery Bypass Surgery.

100

Cardiac output is very important for determining if a patient is in cardiogenic shock. What is a normal cardiac output in an adult? .


  • A. 2-5 liters/minute
  • B. 1-3 liters/minute 
  • C. 4-8 liters/minute
  • D. 8-10 liters/minute
C
100

True or False: If a patient with cardiogenic shock is given a medication that will decrease cardiac afterload, it will decrease stroke volume.

false

100

They physician orders a Dobutamine IV drip on a patient in cardiogenic shock. After starting the IV drip, the nurse would make it priority to monitor for?

  • A. Rebound hypertension
  • B. Ringing in the ears
  • C. Worsening hypotension 
  • D. Severe headache

C

100

The healthcare provider is caring for a patient who has a diagnosis of cardiogenic shock secondary to left ventricular dysfunction. The goals of pharmacotherapy for this patient include which of these outcomes? Select all that apply.


a. Decreased cardiac output

b. Increased peripheral resistance

C. Increased contractility

D. Decreased preload

E. Increased afterload

C, D

200

A management used to those with Tension Pneumothorax (one cause of Obstructive Shock), wherein a tube is inserted through the chest wall and into the pleural space or mediastinum in order to remove air, fluid, or pus from the intrathoracic space-

Chest tube thoracotomy.

200

_____________ is the force the heart has to pump against to get blood out of the ventricle.

  • A. Cardiac output
  • B. Cardiac index
  • C. Preload
  • D. Afterload 

D

200

the 3 stages of shock are Pre-shock, Shock, Post shock

false

Pre-shock, Shock, End-organ dysfunction

200

A patient who is in cardiogenic shock has a urine output of 20\,\text{mL/hr}20mL/hr20, start text, m, L, slash, h, r, end text. When further assessing the patient’s renal function, what additional findings are anticipated? Select all that apply.


A. Decreased urine specific gravity

B. Increased blood urea nitrogen (BUN)

C. Decreased serum creatinine

D. Decreased urine sodium

B, D
300

One cause of Obstructive shock which puts pressure on the heart that keeps it from filling thereby decreasing the blood pressure-

 Cardiac tamponade.

300

Which patient below is at MOST risk for developing cardiogenic shock? 

  • A. A 52-year-old male who is experiencing a severe allergic reaction from shellfish.
  • B. A 25-year-old female who has experienced an upper thoracic spinal cord injury. 
  • C. A 72-year-old male who is post-op from a liver transplant.
  • D. A 49-year-old female who is experiencing an acute myocardial infarction.
D
300

stage C of cardiogenic shock is also called as "classic" Cardiogenic shock

true

300

 A patient is being treated for cardiogenic shock. Which statement below best describes this condition? Select all that apply: 

A. "The patient will experience an increase in cardiac output due to an increase in preload and afterload."

B. "A patient with this condition will experience decreased cardiac output and decreased tissue perfusion." 

C. "This condition occurs because the heart has an inadequate blood volume to pump."

D. "Cardiogenic shock leads to pulmonary edema

B and D

400

Medication given those with Cardiogenic Shock to help dissolve a blood clot-

Thrombolytics.

400

Occurs when adequate oxygen and nutrient delivery to the organs and tissues of the body is compromised as a direct result of an obstruction to blood flow into or out of the heart

Obstructive shock

400

You’re assessing your patient with cardiogenic shock, what signs and symptoms do you expect to find in this condition? Select all that apply:

  • A. Warm, flushed skin
  • B. Prolonged capillary refill 
  • C. Urinary output >30 mL/hr 
  • D. Systolic blood pressure <90 mmHg 
  • E. Crackles in lung fields
  • F. Dyspnea 
  • D. Decreased BUN and creatinine
  • G. Strong peripheral pulses
  • H. Chest pain 

 B, D, E, F, and H

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