A nurse is performing an initial exam on a patient who presents for care of acute coronary syndrome. The patient is in cardiogenic shock and the physician has placed a central line. During the physical assessment, which sign or symptom would the nurse most likely expect to see?

 

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Correct

- Decreased cardiac contractility

- Decreased central venous pressure

- Decreased heart rate

- Decreased systemic vascular resistance

Rationale

A patient with a cardiac condition is at risk of developing cardiogenic shock when the heart has been damaged enough that it is unable to effectively pump blood to perfuse vital organs. The patient will most often experience a decrease in blood pressure and a weak or thready pulse. Cardiac contractility, the degree of performance of the heart's contractions, will also be diminished when cardiogenic shock develops.

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