(1 point). Listen.
Which of the following conditions will the nurse observe documented on the cha, the patient has a rapid collection of fluid in the pericardial sac, resulting in tamponade?

Pericardial rub.

Pericardial effusion.

Cardiomyopathy.

Constrictive pericarditis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Pericardial rub A pericardial rub is a clinical finding where a healthcare provider can hear a grating or scratching sound when listening to the heart using a stethoscope. It is a sign of inflammation of the pericardium (pericarditis) but is not necessarily associated with the rapid collection of fluid in the pericardial sac. Pericardial rub is more indicative of inflammation and not fluid accumulation.

Choice B rationale:

Pericardial effusion Pericardial effusion is the abnormal accumulation of fluid in the pericardial sac surrounding the heart. If the fluid accumulates rapidly, it can lead to cardiac tamponade, a life-threatening condition where the heart's ability to pump blood is compromised. The nurse should observe for signs and symptoms of pericardial effusion and its complications in the patient's chart when rapid fluid collection is suspected.

Choice C rationale:

Cardiomyopathy Cardiomyopathy is a condition characterized by abnormal heart muscle function. It can lead to heart failure and other cardiac issues, but it is not directly related to the rapid collection of fluid in the pericardial sac. The question specifically focuses on a condition resulting from the rapid accumulation of fluid in the pericardial sac.

Choice D rationale:

Constrictive pericarditis Constrictive pericarditis is a condition in which the pericardium becomes thickened and rigid, restricting the heart's ability to expand and fill with blood. It is a chronic condition and not typically associated with a rapid collection of fluid in the pericardial sac. Rapid fluid accumulation leading to tamponade is more indicative of pericardial effusion, which is the correct answer.

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Correct Answer is C

Explanation

Choice A rationale:

Serous fluid is not typically associated with pericardial effusion in acute pericarditis. Pericardial effusion is more likely to contain blood or inflammatory exudate, especially in the context of pericarditis.

Choice B rationale:

Exudate is often found in pericardial effusion associated with acute pericarditis. This inflammatory response can lead to the accumulation of exudative fluid in the pericardial space.

Choice C rationale:

This is the correct answer. Serosanguineous fluid is often associated with pericardial effusion in the context of acute pericarditis. It contains a mixture of serous fluid (clear, yellowish) and blood, reflecting the inflammatory nature of the condition.

Choice D rationale:

Sanguineous fluid, while it may be present in some cases, is not the most typical fluid associated with pericardial effusion in acute pericarditis. Sanguineous fluid is characterized by a higher proportion of blood and is more commonly seen in traumatic or hemorrhagic effusions.

A. Hypertension. B. Metabolic syndrome. C. Myocardial ischemia. D. Diuresis.

Correct Answer is C

Explanation

Choice A rationale:

Hypertension is not the term used to describe insufficient coronary blood flow. Hypertension refers to high blood pressure, which may contribute to cardiovascular issues, but it does not directly describe the inadequate blood flow.

Choice B rationale:

Metabolic syndrome is also unrelated to insufficient coronary blood flow. Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. It doesn't describe the process of inadequate blood flow.

Choice C rationale:

Myocardial ischemia is the correct term to describe insufficient coronary blood flow. Ischemia occurs when there is an inadequate supply of blood to the heart muscle, leading to oxygen deprivation. This term accurately characterizes the condition mentioned in the question.

Choice D rationale:

Diuresis is unrelated to the process of insufficient coronary blood flow. Diuresis refers to increased urine production and does not address the primary issue, which is inadequate blood supply to the heart.

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(1 point). Listen.Which of the following conditions will the nurse observe documented on the cha, the patient has a rapid collection of fluid in the pericardial sac, resulting in tamponade?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(1 point):. A patient with acute pericarditis develops pericardial effusion.Which type of fluid is associated with this condition?

Correct Answer is C

Explanation

(1 point). Listen.A patient's coronary blood flow is insufficient to meet the metabolic demands of the myocytes.Which term will the nurse use to describe this process?

Correct Answer is C

Explanation

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(1 point). Listen.
Which of the following conditions will the nurse observe documented on the cha, the patient has a rapid collection of fluid in the pericardial sac, resulting in tamponade?