After receiving the nursing report, the nurse recognizes the patient admitted with which of the following to be at greatest risk for the development of cardiogenic shock?
A) Acute renal failure
B) Myocardial infarction
C) Malignant hypertension
D) Stroke
Ans: B
Feedback: Cardiogenic shock may occur following a myocardial infarction when a large area of myocardium becomes ischemic, necrotic, and hypokinetic. It also can occur as a result of end-stage heart failure, cardiac tamponade, pulmonary embolism, cardiomyopathy, and dysrhythmias. While patients with acute renal failure are at risk for dysrhythmias, and patients experiencing a stroke are at risk for thrombus formation, the patient admitted following an MI is at the greatest risk for development of cardiogenic shock when compared to the other diagnosis.
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