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Practice Question

A patient with cardiogenic shock has the following vital signs: BP 102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure (PAWP) is increased and cardiac output is low. The nurse will anticipate an order for which medication?

Answer Choices:

Correct Answer:

Epinephrine (Adrenalin) drip.

Rationale:

Cardiogenic shock is characterized by low cardiac output with elevated preload, as reflected by the increased pulmonary artery wedge pressure (PAWP).

Epinephrine provides strong β₁-adrenergic stimulation, which increases myocardial contractility and heart rate, directly improving cardiac output.

⮚ Its α-adrenergic effects also support systemic vascular resistance, helping maintain blood pressure in the setting of shock.

⮚ Initiating an epinephrine drip addresses the primary pathophysiologic problem—pump failure, making it an appropriate anticipated order.

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This question is from NUR 4338 Complex Human Needs SN FA25 which contains 86 questions.

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From Exam
NUR 4338 Complex Human Needs SN FA25

86 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Examplify/Examsoft Exams
  • Domain: MED-SURG - EXAMSOFT
  • Answer Choices: 4
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