A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?

Irregular pulsations

Bounding pulsations

Tachycardia

Bradycardia

Answer and Explanation

The Correct Answer is A

A. Irregular pulsations are expected with PVCs because they cause occasional early beats that disrupt the regular rhythm of the pulse.

B. Bounding pulsations are not specific to PVCs and are more indicative of conditions like high cardiac output states.

C. Tachycardia is not a direct finding associated with PVCs; PVCs are more about irregular beats rather than a consistently high heart rate.

D. Bradycardia is not typically associated with PVCs; PVCs are characterized by irregular beats but not necessarily a slow heart rate.

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Correct Answer is B

Explanation

A. APTT of 64 seconds is prolonged but not specific to DIC alone; the normal range is generally around 30-40 seconds, and prolonged APTT can be seen in various conditions.
B. A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.
C. A platelet count of 156,000/mm³ is within the normal range for most clients (150,000-450,000/mm³), though it might be lower in acute DIC.
D. A PT of 12 seconds is within the normal range for most clients (11-13.5 seconds), so it does not require reporting for DIC.

A. Ecchymosis B. Skin integrity C. Temperature D. Color E. Sensation

Correct Answer is ["B","C","D","E"]

Explanation

A. Ecchymosis indicates bruising but is not a primary parameter for assessing neurovascular status.

B. Skin integrity is important to monitor for any signs of breakdown or infection.

C. Temperature helps assess for adequate blood flow and potential complications.

D. Color of the extremity indicates blood flow and can show signs of compromised circulation.

E. Sensation checks for nerve damage or impaired circulation.

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A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?

Nursing Test Bank

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Explanation

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