Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Check the electrocardiogram (ECG) for ST segment changes.
Assess for the presence of jugular venous distention (VD).
Monitor for changes in the patient's sedimentation rate.
Assess for the presence of a paradoxical pulse.
The Correct Answer is B
Choice A rationale:
ST segment changes on an ECG are not typically associated with chronic constrictive pericarditis.
Choice B rationale:
Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective.
Choice C rationale:
While the sedimentation rate can indicate inflammation, it is not specific to chronic constrictive pericarditis.
Choice D rationale:
The presence of a paradoxical pulse is not typically associated with chronic constrictive pericarditis.
So, the correct answer is B, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
In a patient with severe dyspnea and a dry, hacking cough, auscultating the breath sounds would be the first action to assess for any abnormalities.
Choice B rationale:
Checking the capillary refill would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.
Choice C rationale:
Auscultating the abdomen would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.
Choice D rationale:
Asking about the patient’s allergies would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.
So, the correct answer is A, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI)123.
Choice B rationale:
Changes in pain that occur with deep breathing are more typical of musculoskeletal pain or pericarditis.
Choice C rationale:
Stable angina is usually relieved when the patient takes nitroglycerin.
Choice D rationale:
Pain that is reproducible when the patient raises the arms is more typical of musculoskeletal pain.
So, the correct answer is A, after analyzing all choices.
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