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.
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Related Questions
Correct Answer is D
Explanation
A. Decrease chest pain is important but not the highest priority. Managing pain can help with breathing, but oxygenation is the primary concern.
B. Reduce the client's anxiety is secondary to physiological needs. Anxiety can worsen dyspnea, but addressing oxygenation first is more critical.
C. Maintain adequate circulating volume is a priority if there is hemorrhage, but the question does not indicate bleeding. Oxygenation takes precedence in this case.
D. Maintain adequate oxygenation is the priority. Chest trauma can lead to pneumothorax, pulmonary contusion, or other complications that can impair gas exchange. Ensuring adequate oxygenation prevents hypoxia and respiratory failure, which are life-threatening.
Correct Answer is ["A","B","C","D"]
Explanation
A. Causative agent and duration of exposure – Chemical, electrical, or thermal burns differ in severity.
B. Depth of burn – Superficial, partial-thickness, and full-thickness burns determine severity.
C. Anatomical location – Burns over joints, face, or perineum have higher morbidity.
D. Total Body Surface Area (TBSA) percentage – Used to estimate fluid resuscitation needs (e.g., Parkland formula).
E. Time of day burn occurred – Time does not affect burn severity.
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