Types and Management of Shock · NCLEX Exam

In cardiogenic shock, the nurse observes jugular venous distension (JVD), pulmonary edema on auscultation, and weak pulses. These findings reflect:

  1. Decreased afterload with elevated cardiac output
  2. Impaired contractility with backup of blood
  3. Volume depletion with intense vasoconstriction
  4. Vasodilation with high cardiac output
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Correct answer: Impaired contractility with backup of blood

JVD, pulmonary edema, and weak pulses reflect a failing myocardium: blood backs up into the venous and pulmonary circulation while forward perfusion drops. This is reduced contractility, not high output, volume depletion, or vasodilation.

Difficulty: Medium Question 15 of 20

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