1. The nurse is monitoring a client with acute pericarditis for signs of cardiac
tamponade. Which assessment finding indicates the presence of this complication?:
Answer
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)
2. The nurse is caring for a client with cardiac disease who has been placed on a cardiac
monitor. The nurse notesthat the client has developed AFIB and has a rapid ventricular rate
of 150 beats/minute. The nurse would NEXT assessthe client for which finding?:
Answer
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.
3. The nurse has completed an educational course about first degree heart block. Which
statement by the nurse indicates that the teaching has been effective:
Answer Prolonged, Equal PR intervals indicate first degree heart block
4. Postoperative care of a patient undergoing CABG surgery includes monitoring for
which common complication?:
Answer
Atrial dysrhythmias
Common first 3 days after
5. A patient has received a bolus dose and an infusion of late please for an ST segment
elevation myocardial infarction (STEMI). Which patient assessment would determine the
effectiveness of this medication?:
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