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Types and Management of Shock · NCLEX Exam

Which statement about management differences between cardiogenic and hypovolemic shock is correct?

  1. Both shock types require aggressive fluid boluses without caution
  2. Cardiogenic shock needs cautious fluids, while hypovolemic shock needs fluids first-line
  3. Cardiogenic shock resolves with fluids alone, without inotropic support
  4. Hypovolemic shock is best managed with vasodilators as first-line therapy
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Correct answer: Cardiogenic shock needs cautious fluids, while hypovolemic shock needs fluids first-line

Hypovolemic shock requires volume resuscitation as the first step; in cardiogenic shock, additional fluids may worsen pulmonary edema, so careful fluid management is required.

Difficulty: Medium Question 8 of 20

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