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.
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Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale: Vitamin K is given to counteract the effects of anticoagulants like warfarin, which might have been administered to manage atrial fibrillation1.
Choice B rationale: Heparin is an anticoagulant often used in the initial management of atrial fibrillation to prevent the formation of clots2.
Choice C rationale: PT, PTT, and INR are lab tests used to monitor the effectiveness of anticoagulation therapy1.
Choice D rationale: Coumadin (warfarin) is a long-term anticoagulant therapy often used in the management of atrial fibrillation1.
Choice E rationale: Verapamil is a calcium channel blocker, not typically the first line of treatment for atrial fibrillation3.
So, the correct answer is Choices A, B, C, and D, after analyzing all choices.
Correct Answer is ["A","B","D","E"]
Explanation
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.
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