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 C
Explanation
A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.
Correct Answer is ["B","C","D","E"]
Explanation
A. A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice. This is incorrect. A low Hgb A1C indicates good blood sugar control, not hypoglycemia.
B. An A1C of 6.5% or higher is diagnostic of diabetes
C. Hgb A1C result reveals the patient's average blood sugar over the last few months.
D. A Hgb A1C value of less than 5.7 is normal.
E. The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient.
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