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CEN Practice Exam (Certified Emergency Nurse)

Category - Shock

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Which finding would make you suspect that your patient might be in cardiogenic shock?

Decreased or muffled heart sounds
A cardiac index greater than 2.2 L/min
Bounding pulses
Increased cardiac output

Explanation

Answer: A - In cardiogenic shock the patient heart sounds will become decreased or muffled. This is caused by the myocardium’s decreased ability to pump due to weakening by blood or fluid. This would cause a decreased cardiac index, decreased cardiac output and weak, thready pulses.

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CEN Practice Exam (Certified Emergency Nurse)

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CEN Practice Exam (Certified Emergency Nurse)

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