Which of the following interventions should the nurse include in the plan of care for a client who has cardiogenic shock?
A)Avoid elevating head of bed.
B)Check temperature every 2 hours.
C)Monitor breath sounds frequently.
D)Assess skin for flushing and itching.

Question

Quizplus · Accepted Answer

Since pulmonary congestion and dyspnea are characteristics of cardiogenic shock, the nurse should assess the breath sounds frequently. The head of the bed is usually elevated to decrease dyspnea. Elevated temperature and flushing or itching of the skin are not typical of cardiogenic shock.

Which of the Following Interventions Should the Nurse Include in the Plan