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.
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Related Questions
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.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale: Fever can cause an increase in metabolic rate which can lead to sinus tachycardia1.
Choice B rationale: Lisinopril is an ACE inhibitor used to treat hypertension, not a cause of sinus tachycardia1.
Choice C rationale: Albuterol is a bronchodilator that can cause sinus tachycardia as a side effect1.
Choice D rationale: Sleeping typically results in a slower heart rate, not sinus tachycardia1.
Choice E rationale: Dehydration can lead to low blood volume, causing the heart to beat faster to maintain blood pressure, resulting in sinus tachycardia1.
So, the correct answer is Choices A, C, and E, after analysing all choices.
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