NCLEX-RN Exam Practice

Category - Shock

Your patient came in to the emergency department with chest pain. Over the last hour the patient’s blood pressure has dropped, pulse has increased and respirations have increased. What do you suspect these changes indicate?
  1. Cardiogenic shock
  2. Cardiac tamponade
  3. Pulmonary embolism
  4. Aortic aneurysm
Explanation
Answer: A - The changes in vital signs indicate that the patient is going into cardiogenic shock. Cardiogenic shock occurs when there is severe damage to the left ventricle. The patient may also display signs of decreased urine output and cool, clammy skin.
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