A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Apical pulse rate is different than the radial pulse rate
Drop in systolic BP by 20 mm Hg when changing positions
Increase in heart rate by 20% when moving from sitting to standing
Decrease in systolic pressure by more than 10 mm Hg during inspiration
The Correct Answer is D
A. A difference between the apical pulse rate and the radial pulse rate is more indicative of a pulse deficit, which is not specific to constrictive pericarditis.
B. A drop in systolic blood pressure by 20 mm Hg when changing positions describes orthostatic hypotension, not paradoxical blood pressure.
C. An increase in heart rate when moving from sitting to standing reflects orthostatic changes, not paradoxical blood pressure.
D. Paradoxical blood pressure refers to a decrease in systolic blood pressure of more than 10 mm Hg during inspiration, which can occur in constrictive pericarditis due to impaired filling of the heart during diastole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Comminuted is correct. A comminuted fracture occurs when the bone breaks into several pieces, which matches the description of the tibia being splintered into multiple fragments.
B. Impacted is incorrect. An impacted fracture occurs when the ends of the bone are driven into each other.
C. Transverse is incorrect. A transverse fracture occurs in a straight line across the bone shaft.
D. Oblique is incorrect. An oblique fracture occurs at an angle across the bone shaft.
Correct Answer is D
Explanation
A. Carvedilol does not significantly increase the risk of rhabdomyolysis when used with colchicine.
B. Omeprazole does not interact with colchicine in a way that increases the risk of rhabdomyolysis.
C. Hydrochlorothiazide does not have a known interaction with colchicine that significantly increases the risk of rhabdomyolysis.
D. Atorvastatin increases the risk of rhabdomyolysis when used with colchicine, as both can contribute to muscle damage.
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