A nurse is assessing a client who has fluid volume overload from cardiogenic shock.Which manifestation of cardiogenic shock should the nurse expect?(a) Heart Rate 121bpm(b) Blood pressure 165/91 mm/Hg(c) Respiratory Rate 12 bpm(d) Temperature 103.1 F
Question
A nurse is assessing a client who has fluid volume overload from cardiogenic shock.Which manifestation of cardiogenic shock should the nurse expect?(a) Heart Rate 121bpm(b) Blood pressure 165/91 mm/Hg(c) Respiratory Rate 12 bpm(d) Temperature 103.1 F
Solution
Cardiogenic shock is a condition where the heart suddenly can't pump enough blood to meet the body's needs. It is often caused by a severe heart attack. The main symptoms of cardiogenic shock are rapid breathing, severe shortness of breath, sudden, rapid heartbeat (tachycardia), loss of consciousness, weak pulse, low blood pressure (hypotension), sweating, and pale, cool skin.
In the given options:
(a) Heart Rate 121bpm: This is a high heart rate (tachycardia). The normal resting heart rate for adults ranges from 60 to 100 beats per minute. A heart rate higher than 100 beats per minute is known as tachycardia, a type of heart rhythm disorder. This could be a manifestation of cardiogenic shock as the heart tries to compensate for the decreased cardiac output.
(b) Blood pressure 165/91 mm/Hg: This is high blood pressure (hypertension). However, in cardiogenic shock, we would expect low blood pressure (hypotension) because the heart isn't pumping enough blood to the body.
(c) Respiratory Rate 12 bpm: This is a normal respiratory rate for an adult at rest. In cardiogenic shock, we would expect a high respiratory rate (tachypnea) as the body tries to compensate for the decreased oxygen supply due to the low cardiac output.
(d) Temperature 103.1 F: This is a high body temperature (fever). However, fever is not typically a manifestation of cardiogenic shock.
Therefore, based on the given options, the nurse should expect a high heart rate (tachycardia) as a manifestation of cardiogenic shock. So, the answer is (a) Heart Rate 121bpm.
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