Cardiac Shock and Acute Coronary Syndrome · NCLEX Exam

What is the recommended primary intervention in a patient with cardiogenic shock and pulmonary edema?

  1. Give a rapid intravenous fluid bolus of 500 mL crystalloid
  2. Start diuretics with ventilatory support as needed
  3. Delay oxygen therapy until blood culture results return
  4. Provide only oral fluids and avoid intravenous medications
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Correct answer: Start diuretics with ventilatory support as needed

In cardiogenic shock with pulmonary edema, diuretics and ventilatory support are critical for managing fluid overload.

Difficulty: Medium Question 5 of 11

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