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Acute Coronary Syndrome and MI Care · NCLEX Exam

What nursing assessment indicates possible cardiogenic shock in patients with MI?

  1. BP 120/70, warm extremities and normal urine output
  2. BP 80/50, cool clammy skin, oliguria and elevated PCWP
  3. HR 70 with a urine output of about 45 mL per hour
  4. Normal mentation, no JVD and warm well-perfused skin
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Correct answer: BP 80/50, cool clammy skin, oliguria and elevated PCWP

Cardiogenic shock is characterised by low blood pressure, poor perfusion, and elevated filling pressures like PCWP.

Difficulty: Medium Question 5 of 20

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