The nurse overseeing care in the intensive care unit (ICU) reviews the shift report on four clients. The nurse recognizes which client to be at greatest risk for the development of cardiogenic shock?

The client admitted with malignant hypertension

The client admitted following a stroke

The client admitted with acute kidney injury

The client admitted following a myocardial infarction (MI)

Answer and Explanation

The Correct Answer is D

A. Malignant hypertension poses risks for other conditions but is not the primary risk factor for cardiogenic shock.
B. A stroke does not directly lead to cardiogenic shock, though it may have other significant complications.
C. Acute kidney injury affects renal function but is not the primary risk for cardiogenic shock.
D. A myocardial infarction (MI) can impair the heart's pumping ability, leading to cardiogenic shock. This is due to the damage to heart muscle that can severely impact cardiac output and blood pressure.

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Correct Answer is B

Explanation

A. Distributive shock is associated with decreased MAP, not increased.
B. Decreased venous return occurs in distributive shock due to the pooling of blood in the periphery, leading to reduced preload and decreased cardiac output.
C. Distributive shock typically results in increased heart rate as the body attempts to compensate for decreased blood pressure and venous return.
D. Cardiac output is generally decreased in distributive shock due to reduced venous return and impaired blood flow.

A. Cholelithiasis B. Addison disease C. Hypothyroidism D. Gout

Correct Answer is A

Explanation

A. Cholelithiasis (gallstones) is a known risk factor for acute pancreatitis, as gallstones can block the bile duct and lead to inflammation of the pancreas.
B. Addison disease is not directly associated with an increased risk of acute pancreatitis. It primarily affects adrenal gland function.
C. Hypothyroidism does not typically influence the risk of developing acute pancreatitis. The condition primarily affects metabolism.
D. Gout is a condition related to elevated uric acid levels and is not a direct risk factor for acute pancreatitis.

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The nurse overseeing care in the intensive care unit (ICU) reviews the shift report on four clients. The nurse recognizes which client to be at greatest risk for the development of cardiogenic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing pooling of blood in the periphery. Which of the following occurs in a client with distributive shock?

Correct Answer is B

Explanation

A nurse is interviewing a client who has acute pancreatitis. Which of the following statements by the client would the nurse identify as a risk factor for pancreatitis?

Correct Answer is A

Explanation

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