A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply

(Select All that Apply.)

Shortness of breath

Hypotension

Hypertension

Chest Pain

Dizziness

Bounding pulses

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale: Shortness of breath is a common symptom in atrial fibrillation due to the heart’s inability to pump blood effectively12.

Choice B rationale: Hypotension can occur in atrial fibrillation due to decreased cardiac output12.

Choice C rationale: Hypertension is not typically a direct result of atrial fibrillation. However, long-term untreated hypertension can be a cause of atrial fibrillation12.

Choice D rationale: Chest pain can occur in atrial fibrillation due to decreased blood flow to the heart12.

Choice E rationale: Dizziness is a common symptom in atrial fibrillation due to decreased blood flow to the brain12.

Choice F rationale: Bounding pulses are not typically associated with atrial fibrillation12.

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Correct Answer is C

Explanation

Choice A rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream6789.

Choice B rationale: It is not necessary to go to the hospital to take the medication. The medication can be taken at the onset of chest pain6789.

Choice C rationale: This is the correct instruction. At the onset of chest pain, the patient should lie or sit down and place one tablet under the tongue6789.

Choice D rationale: If one tablet does not relieve the pain in 5 minutes, a second tablet may be taken. If the pain continues for another 5 minutes, a third tablet may be used. If the patient still has chest pain after a total of 3 tablets, they should seek immediate medical attention6789.

So, the correct answer is C, after analysing all choices

A. ANALYZE B. SHOCK C. ON D. SYNC

Correct Answer is D

Explanation

Choice A rationale: The “ANALYZE” button is typically used to allow the defibrillator to analyze the heart rhythm. It would not ensure that the electricity is delivered on the R wave6.

Choice B rationale: The “SHOCK” button is used to deliver a shock during defibrillation or cardioversion. However, it does not specifically ensure that the shock is delivered on the R wave6.

Choice C rationale: The “ON” button is typically used to turn the device on or off. It does not control the timing of the electrical delivery6.

Choice D rationale: The “SYNC” button is used in synchronized cardioversion to match the delivery of the shock to the R wave of the ECG, which is the peak of the electrical wave during which the ventricular cells are depolarized6.

So, the correct answer is D, after analysing all choices.

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A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)

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Correct Answer is C

Explanation

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Explanation

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A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply

(Select All that Apply.)