A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply
(Select All that Apply.)
Shortness of breath
Hypotension
Hypertension
Chest Pain
Dizziness
Bounding pulses
Correct Answer : A,B,D,E
Choice A rationale: Shortness of breath is a common symptom in atrial fibrillation due to the heart’s inability to pump blood effectively12.
Choice B rationale: Hypotension can occur in atrial fibrillation due to decreased cardiac output12.
Choice C rationale: Hypertension is not typically a direct result of atrial fibrillation. However, long-term untreated hypertension can be a cause of atrial fibrillation12.
Choice D rationale: Chest pain can occur in atrial fibrillation due to decreased blood flow to the heart12.
Choice E rationale: Dizziness is a common symptom in atrial fibrillation due to decreased blood flow to the brain12.
Choice F rationale: Bounding pulses are not typically associated with atrial fibrillation12.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Adenosine is primarily used to treat supraventricular tachycardia, not typically used for tachycardic rhythm with palpitations and dizziness5.
Choice B rationale: Atenolol is a beta-blocker that can be used to treat tachycardia, but it is not typically the first choice for acute symptoms5.
Choice C rationale: Metoprolol is a beta-blocker that is often used to treat tachycardia and can help alleviate symptoms such as palpitations and dizziness5.
Choice D rationale: Atropine is typically used to treat bradycardia, not tachycardia5.
So, the correct answer is C, after analysing all choices.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale: Fever can cause an increase in metabolic rate which can lead to sinus tachycardia1.
Choice B rationale: Lisinopril is an ACE inhibitor used to treat hypertension, not a cause of sinus tachycardia1.
Choice C rationale: Albuterol is a bronchodilator that can cause sinus tachycardia as a side effect1.
Choice D rationale: Sleeping typically results in a slower heart rate, not sinus tachycardia1.
Choice E rationale: Dehydration can lead to low blood volume, causing the heart to beat faster to maintain blood pressure, resulting in sinus tachycardia1.
So, the correct answer is Choices A, C, and E, after analysing all choices.
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