Following coronary bypass graft (CABG) surgery for a massive myocardial infarction (MI) located on his left ventricle, the ICU nurses are assessing for clinical manifestations of cardiogenic shock. Which of the following assessment findings would confirm that the client may be in the early stages of cardiogenic shock? Select all that apply.
A) Decreasing mean arterial pressure (MAP)
B) Low BP reading of 86/60
C) Urine output of 15 mL last hour
D) Low pulmonary capillary wedge pressure (PCWP)
E) Periods of confusion

Question

Quizplus · Accepted Answer

Signs and symptoms of cardiogenic shock include indications of hypoperfusion with hypotension (BP 96/60), decrease in mean arterial pressure (MAP) due to poor stroke volume, and a narrow pulse pressure. Urine output decreases because of lower renal perfusion pressures. PCWP is usually elevated due to increased preload. Periods of confusion or altered cognition/consciousness may occur because of low cardiac output.

Following Coronary Bypass Graft (CABG) Surgery for a Massive Myocardial