What is the goal of treatment for the client diagnosed with cardiogenic shock?
Control dysrhythmias and decrease the heart rate
Decrease cardiac workload and increase systemic perfusion
Improve oxygen exchange and decrease urinary output
Decrease the blood pressure and respiratory rate
The Correct Answer is B
A. Control dysrhythmias and decrease the heart rate
Controlling dysrhythmias is important, but decreasing heart rate is not always the goal, as a compensatory tachycardia may be necessary for perfusion.
B. Decrease cardiac workload and increase systemic perfusion
Cardiogenic shock results from impaired cardiac output. The goal is to reduce the heart’s workload (e.g., by reducing afterload) while improving systemic perfusion.
C. Improve oxygen exchange and decrease urinary output
Oxygenation is important, but decreased urinary output indicates poor renal perfusion and worsening shock, which is not a goal of treatment.
D. Decrease the blood pressure and respiratory rate
In cardiogenic shock, blood pressure is already low. The goal is to maintain adequate perfusion, not to further reduce BP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atropine 1 mg IV push
A C3 spinal cord injury disrupts sympathetic control, causing bradycardia. Atropine is the first-line treatment for symptomatic bradycardia.
B. Epinephrine 1 mg IV
Epinephrine is used for cardiac arrest, not initial management of bradycardia.
C. Adenosine 6 mg IV push
Adenosine is used for supraventricular tachycardia, not bradycardia.
D. Milrinone 50 mcg/kg IV push
Milrinone is an inotrope used in heart failure, not bradycardia.
Correct Answer is B
Explanation
A. Assessment of neurologic status
While neurological assessment is important, it is not the priority in this situation. The immediate priority is managing the chest wound and airway to ensure oxygenation and prevent further complications.
B. Obtain IV access with two large bore lines and blood for lab studies
IV access is important for fluid resuscitation and medication administration but is not the immediate priority compared to securing the airway and ensuring ventilation.
C. Placement of a naso-gastric tube to decompress the stomach
Although the naso-gastric tube may be necessary to decompress the stomach later, it is not the priority in the initial management of a client with a gunshot wound to the chest.
D. Placement of an indwelling catheter (Foley) to measure urine output
While measuring urine output is important for monitoring renal function and fluid balance, it is not the priority in this emergency situation.
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