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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A pre-diabetic A1C range is typically between 5.7 and 6.4%.
B. An A1C level of 5.4% is considered normal. This indicates good blood sugar control.
C. A diabetic A1C level is typically 6.5% or higher.
D. An A1C of 5.4% is clear and indicates normal blood sugar control.
Correct Answer is A
Explanation
A. Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B. Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C. Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.
D. Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.
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