Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?

Visual changes, anorexia

Polyuria, polydipsia

Palpitations, shortness of breath

Systolic murmur, severe anxiety

Answer and Explanation

The Correct Answer is C

A.   These are not typical symptoms of atrial flutter. They may be seen in other conditions like hypertensive crisis or systemic problems, but not as a primary manifestation of atrial flutter.
B.   These are classic signs of diabetes or hyperglycemia, not atrial flutter.
C.   These are common symptoms of atrial flutter, which results in an irregular heart rhythm and may cause increased heart rate, leading to palpitations and shortness of breath.
D.   A systolic murmur is more associated with valve problems, and anxiety could be a result of various issues but is not a typical finding directly caused by atrial flutter.

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Correct Answer is A

Explanation

A. Petechiae (small, pinpoint hemorrhages) are a common manifestation of DIC due to the excessive clotting and subsequent breakdown of clotting factors, leading to bleeding into the skin.
B. Diarrhea is not typically a primary symptom of DIC, although gastrointestinal bleeding can occur in severe cases.
C. Intractable vomiting is not characteristic of DIC, although it could occur in clients with severe bleeding or complications.
D. Urinary incontinence is not a direct manifestation of DIC, although it could occur secondary to neurological or other systemic complications.

A. count the number of large squares in the R-R interval and divide by 30C B. print a 1-minute ECG strip and count the number of ORS complexes, C. count the number of QRS complexes in 6 seconds and multiply by 10. D. calculate the number of small squares between one QRS complex and the next one and divide by 1500.

Correct Answer is C

Explanation

A. Counting the number of large squares between R-R intervals and dividing by 30 is not the correct method for estimating the ventricular rate on an ECG strip.
B. Printing a 1-minute ECG strip and counting the QRS complexes (option B) is accurate but unnecessary for a quick estimation.
C. The most common and efficient method for estimating the ventricular rate quickly is to count the number of QRS complexes in a 6-second strip (often marked by two dashed lines) and multiply by 10. This gives an estimate of the heart rate per minute.
D. Counting the number of small squares between QRS complexes and dividing by 1500 is the most accurate method but requires more time and precision than counting QRS complexes in 6 seconds.

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Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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