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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Deep purple erythema

This suggests bruising or possible hematoma formation, which is concerning but may not be immediately life-threatening.

B. Facial nerve deficits

This indicates nerve injury, which is serious but may not be immediately life-threatening.

C. Dysphonia or dysphagia

Dysphonia (difficulty speaking) or dysphagia (difficulty swallowing) are signs of airway compromise or injury to structures involved in breathing and swallowing. This requires immediate attention.

D. Heart rate of 100 and blood pressure of 96/68

These vital signs indicate tachycardia and borderline hypotension, which are concerning, but the airway compromise (option C) is more immediately life-threatening.

A. Reassure the client that information they share with the nurse is confidential B. Instruct that complementary therapies are rarely helpful C. Assess physical appearance and gait D. Review current medication list including dosage & frequency E. Ask about current alcohol or drug use

Correct Answer is ["A","C","D","E"]

Explanation

A. Reassure the client that information they share with the nurse is confidential
Establishing trust and confidentiality is essential in a health interview, especially for clients with neurological deficits who may feel vulnerable.

B. Instruct that complementary therapies are rarely helpful
This statement is not evidence-based and may dismiss patient preferences. Some complementary therapies, such as physical therapy or mindfulness, can be helpful in neurological conditions.

C. Assess physical appearance and gait
Observing physical appearance and gait provides important clues about neurological deficits, such as weakness, ataxia, or tremors.

D. Review current medication list including dosage & frequency
Medication history is critical in neurological assessments, as certain medications (e.g., anticoagulants, anticonvulsants) can impact the client’s condition.

E. Ask about current alcohol or drug use
Alcohol and drug use can contribute to neurological impairment and should be assessed during the history-taking process.

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What is the goal of treatment for the client diagnosed with cardiogenic shock?

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