Cardiogenic shock occurs when the heart's pumping ability is compromised. What can impair the pumping ability of the heart? Select all that apply.

Myocardial infarction

Cardiac tamponade

Severe bradycardia

Tension pneumothorax

Massive pulmonary embolism

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason:

Myocardial infarction (MI) directly affects the heart muscle's ability to contract effectively. When part of the heart muscle is damaged due to a lack of oxygen, it cannot pump blood efficiently, leading to cardiogenic shock. This impaired contractility reduces cardiac output and blood pressure, causing inadequate perfusion of tissues.

Choice B reason:

Cardiac tamponade occurs when fluid accumulates in the pericardial sac surrounding the heart, compressing it and limiting its ability to fill and pump blood. This leads to decreased cardiac output and can cause cardiogenic shock. The heart cannot expand properly to accommodate blood flow, severely impairing its function.

Choice C reason:

Severe bradycardia, an abnormally slow heart rate, can reduce the heart's ability to pump sufficient blood to meet the body's needs. When the heart rate is too slow, the volume of blood ejected with each beat (cardiac output) decreases, potentially leading to cardiogenic shock if the body's demand for oxygen is not met.

Choice D reason:

Tension pneumothorax, a condition where air enters the pleural space and cannot escape, leads to increased pressure on the heart and great vessels. This pressure prevents the heart from filling properly, reducing cardiac output and impairing its pumping ability. If not promptly treated, tension pneumothorax can cause cardiogenic shock due to compromised heart function.

Choice E reason:

Massive pulmonary embolism, a blockage in the pulmonary arteries, hinders blood flow from the right side of the heart to the lungs. This obstruction increases the workload on the right ventricle, potentially leading to right ventricular failure and cardiogenic shock. The heart struggles to pump blood through the blocked pulmonary circuit, resulting in decreased cardiac output and shock.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Tachycardia. In late septic shock, the body attempts to compensate for poor perfusion and low blood pressure by increasing the heart rate. Tachycardia is a common finding as the heart tries to pump more blood to the tissues.

Choice B reason: Lethargic mental status. As septic shock progresses, decreased perfusion to the brain can lead to changes in mental status, such as lethargy or confusion. This reflects the severity of the condition and the impact on the central nervous system.

Choice C reason: Anuria. Anuria, or the absence of urine output, occurs in late septic shock due to severe hypoperfusion and failure of the kidneys. It is a critical sign indicating that the body's organs are shutting down.

Choice D reason: Normal blood pressure. In late septic shock, blood pressure is typically very low due to systemic vasodilation and fluid loss. Normal blood pressure would not be expected at this advanced stage.

Choice E reason: Warm flushed skin. Warm flushed skin is associated with the early stages of septic shock when vasodilation leads to increased blood flow to the skin. In late septic shock, the skin is more likely to be cool and pale due to poor perfusion.

A. Decreased systemic vascular resistance, decreased CVP. B. Increased systemic vascular resistance, decreased CVP. C. Increased systemic vascular resistance, increased CVP. D. Decreased systemic vascular resistance, increased CVP.

Correct Answer is B

Explanation

Choice A reason: Decreased systemic vascular resistance, decreased CVP. In hypovolemic shock, the body compensates by increasing systemic vascular resistance to maintain blood pressure. Therefore, decreased systemic vascular resistance is not consistent with hypovolemic shock. Central venous pressure (CVP) would be low due to reduced blood volume.

Choice B reason: Increased systemic vascular resistance, decreased CVP. Hypovolemic shock is characterized by low blood volume, leading to decreased cardiac output and low CVP. The body compensates by increasing systemic vascular resistance to maintain blood pressure, making this the correct answer.

Choice C reason: Increased systemic vascular resistance, increased CVP. While systemic vascular resistance increases, CVP is typically decreased in hypovolemic shock due to the lack of circulating blood volume.

Choice D reason: Decreased systemic vascular resistance, increased CVP. Decreased systemic vascular resistance and increased CVP are not consistent with hypovolemic shock. These parameters might be seen in conditions with different hemodynamic profiles.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Cardiogenic shock occurs when the heart's pumping ability is compromised. What can impair the pumping ability of the heart? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working in the ICU is receiving a client diagnosed with late septic shock. The nurse correlates which clinical manifestations to this stage of septic shock?

Correct Answer is ["A","B","C"]

Explanation

The nurse understands that which hemodynamic parameters are consistent with hypovolemic shock? Decreased cardiac output and:

Correct Answer is B

Explanation

The nurse is caring for a patient who is experiencing shock. What finding would the nurse expect when assessing the abdomen?

What is an integumentary manifestation of anaphylactic shock?

What clinical manifestation distinguishes or separates neurogenic shock from other forms of shock?

What is a late sign of septic shock?

Cardiac output (CO) equals:

What is the initial therapy of choice for the treatment of anaphylactic shock?

The nurse is caring for a patient who is the victim of a traumatic motor vehicle accident. Vital signs are: T-98.8 oral, P-140, B/P-86/52, R-28, pulse oximetry-92% on room air. The nurse would suspect which type of shock?

Cardiogenic shock occurs when the heart's pumping ability is compromised. What can impair the pumping ability of the heart? Select all that apply.