Author Question: Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the ... (Read 112 times)

serike · **on:** Jun 25, 2018

Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?

a. The patient's serum creatinine level is elevated.
b. The patient complains of intermittent chest pressure.
c. The patient's extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.

Question 2

Which assessment information is most important for the nurse to obtain to evaluate whether treatment of a patient with anaphylactic shock has been effective?

a. Heart rate
b. Orientation
c. Blood pressure
d. Oxygen saturation

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

Answer to Question 1

ANS: A
The elevated serum creatinine level indicates that the patient has renal failure as well as heart failure. The crackles, chest pressure, and cool extremities are all consistent with the patient's diagnosis of cardiogenic shock.

Answer to Question 2

ANS: D
Because the airway edema that is associated with anaphylaxis can affect airway and breathing, the oxygen saturation is the most critical assessment. Improvements in the other assessments will also be expected with effective treatment of anaphylactic shock.