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

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale: Atropine is not typically used in the treatment of cardiac arrest91011.

Choice B rationale: Defibrillation is not the first step in the treatment of cardiac arrest. The first step is to start CPR91011.

Choice C rationale: Starting CPR is the first action when a patient is unresponsive and pulseless91011.

Choice D rationale: While epinephrine is used in the treatment of cardiac arrest, it is not the first step. The first step is to start CPR91011.
So, the correct answer is Choice C, after analyzing all choices.

A. Oxygen saturation reading of 99% on room air B. Slurred speech C. Decrease in intensity of chest pain D. Elevated blood Pressure

Correct Answer is B

Explanation

Choice A rationale: An oxygen saturation reading of 99% on room air is normal8.

Choice B rationale: Slurred speech could indicate a stroke, which is a potential complication of atrial fibrillation due to the risk of clot formation8.

Choice C rationale: A decrease in intensity of chest pain is not typically a sign of worsening atrial fibrillation8.

Choice D rationale: While elevated blood pressure can be associated with atrial fibrillation, it is not a specific sign of worsening atrial fibrillation8.
So, the correct answer is Choice B, after analyzing all choices.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

Correct Answer is C

Explanation

A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

Correct Answer is B

Explanation

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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.)