When Caring for a Patient with Cardiogenic Shock and Possible

When caring for a patient with cardiogenic shock and possible MODS, which information obtained by the nurse will help confirm the diagnosis of MODS?

A) The patient has crackles throughout both lung fields.
B) The patient complains of 8/10 crushing chest pain.
C) The patient has an elevated ammonia level and confusion.
D) The patient has cool extremities and weak pedal pulses.