Your STEMI patient returns from the Cath lab, after having Balloon Angioplasty percutaneously through their femoral artery. Which of the following Signs and Symptoms would be indicative of Cardiac Tamponade?

Low blood pressure

Bounding peripheral pulses

Beck's Triad

Clear S1, S2 heart sounds

Jugular veins are distended

Answer and Explanation

Correct Answer : A,C,E

A.   As the heart's ability to pump blood is compromised, blood pressure decreases.
B.   Bounding pulses are associated with increased cardiac output, which is opposite to what occurs in cardiac tamponade.
C.   Beck's Triad: This classic triad includes hypotension, muffled heart sounds, and jugular venous distention, all indicative of cardiac tamponade.
D.   Muffled heart sounds are a characteristic of cardiac tamponade due to the fluid accumulation around the heart.
E.   Jugular veins are distended: The increased pressure in the right atrium due to impaired ventricular filling leads to distended jugular veins.

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Correct Answer is B

Explanation

A. Symptoms of DVT typically include pain, swelling, and redness in the affected leg, not sweating and tachycardia.
B. Given the patient's NPO status since midnight, the prolonged fasting coupled with the stress of surgery can lead to low blood sugar. Symptoms of hypoglycemia include sweating, tachycardia, and hunger.
C. Symptoms of hyperglycemia usually include increased thirst, frequent urination, and fatigue, not sweating and tachycardia.
D. While anxiety can cause some physical symptoms, sweating and tachycardia are more characteristic of hypoglycemia in this context.

A. Phantom limb pain B. Neuropathic pain C. Breakthrough pain D. Mixed pain

Correct Answer is A

Explanation

A. Breakthrough pain is defined as a transient exacerbation of underlying persistent pain that occurs on a background of otherwise controlled pain. This is the most accurate description of the patient's experience: a sudden increase in pain despite taking regular opioid medication.
B. Phantom limb pain is pain felt in a limb that is no longer there. This does not apply to the patient's situation.
C. Neuropathic pain is caused by damage to the nerves. While it can be achy, the description of localized pain suggests a different type of pain.
D. Mixed pain is a combination of different types of pain. While possible, breakthrough pain is the most likely and specific diagnosis based on the given information.

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Your STEMI patient returns from the Cath lab, after having Balloon Angioplasty percutaneously through their femoral artery. Which of the following Signs and Symptoms would be indicative of Cardiac Tamponade?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

Correct Answer is A

Explanation

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