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NSG-430 Community Nursing Exam 2 –
Quiz & Test Prep.
THE NURSE IS MONITORING A CLIENT WITH ACUTE PERICARDITIS FOR SIGNS OF CARDIAC
TAMPONADE. WHICH ASSESSMENT FINDING INDICATES THE PRESENCE OF THIS
COMPLICATION?
MUFFLED OR DISTANT HEART SOUNDS
-ASSESSMENT FINDINGS ASSOCIATED WITH CARDIAC TAMPONADE INCLUDE:
TACHYCARDIA
DISTANT OR MUFFLED HEART SOUNDS
JUGULAR VEIN DISTENTION
WITH CLEAR LUNG SOUNDS
FALLING BLOOD PRESSURE ACCOMPANIED BY PULSES PARADOXUS (A DROP IN
INSPIRATORY BLOOD PRESSURE GREATER THAN 10MMHG)
WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!
THE NURSE IS CARING FOR A CLIENT WITH CARDIAC DISEASE WHO HAS BEEN PLACED ON
A CARDIAC MONITOR. THE NURSE NOTES THAT THE CLIENT HAS DEVELOPED AFIB AND
HAS A RAPID VENTRICULAR RATE OF 150 BEATS/MINUTE. THE NURSE WOULD NEXT
ASSESS THE CLIENT FOR WHICH FINDING?
HYPOTENSION
THE CLIENT WITH UNCONTROLLED ATRIAL FIBRILLATION WITH A VENTRICULAR RATE
GREATER THAN 100 BEATS/MINUTE IS AT RISK FOR LOW CARDIAC OUTPUT BECAUSE OF
THE LOSS OF ATRIAL KICK.
