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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While amiodarone is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.
Choice B rationale: The immediate priority in a client who goes into ventricular fibrillation and is unresponsive is to prepare for defibrillation. This is a life-saving measure that can restore a normal heart rhythm34.
Choice C rationale: Synchronized cardioversion is not the immediate priority in a client who goes into ventricular fibrillation and is unresponsive34.
Choice D rationale: While epinephrine is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.
So, the correct answer is B, after analysing all choices.
Correct Answer is D
Explanation
Choice A rationale: First-degree AV block is a type of heart block, not a dysrhythmia associated with palpitations, fatigue, and dizziness12.
Choice B rationale: Sinus bradycardia is a slow heart rate, not a rapid and irregular one12.
Choice C rationale: Sinus tachycardia is a fast heart rate but it is regular, not irregular12.
Choice D rationale: Atrial fibrillation is a fast and irregular heart rate, which aligns with the symptoms described34.
So, the correct answer is Choice D, after analysing all choices.
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