Author Question: The nurse suspects that a patient diagnosed with a myocardial infarction is developing cardiogenic ... (Read 61 times)

penza · **on:** Jun 25, 2018

The nurse suspects that a patient diagnosed with a myocardial infarction is developing cardiogenic shock. What manifestation did the nurse assess to come to this conclusion?

1. jugular vein distention
2. warm extremities
3. laryngospasm
4. urticaria

Question 2

A patient is admitted with severe facial injuries from a motor vehicle crash. For what should the nurse first assess this patient?

1. signs of stridor, cough, or respiratory distress
2. blood pressure
3. need for suctioning
4. loose teeth or obvious problems with the mouth

mfedorka · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Jugular vein distention is seen in cardiogenic shock. Warm extremities are seen in early septic shock and anaphylactic shock. Laryngospasm and urticaria are seen in anaphylactic shock.

Answer to Question 2

Correct Answer: 1
The patient with multiple injuries is at great risk for developing airway obstruction and apnea. All of the choices are important; however, the most important assessment is for a patent and maintainable airway. The nurse should assess for manifestations of airway obstruction including stridor, tachypnea, bradypnea, cough and cyanosis, dyspnea, decreased or absent breath sounds, changes in oxygen levels, and changes in level of consciousness. After it has been determined that the airway is adequate, the blood pressure and mouth can be assessed and the need for suctioning determined.