NSG 430 Exam 2 practice questions (Complete And Verified Study material) (9pages) LEARNEXAMS

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?: