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 ["100"]
Explanation
- First, calculate the total volume to be infused over the desired time frame: 50 mL over 30 minutes.
- To find the rate in mL/hr, multiply the volume by 2 (since 30 minutes is half an hour), resulting in 100 mL/hr.
- Therefore, the nurse should set the IV pump to deliver 100 mL/hr to administer clindamycin 300 mg over 30 minutes.
Correct Answer is D
Explanation
A. Granulocytes are typically not decreased in ITP; they are more relevant for infections or bone marrow conditions.
B. RBC levels are not typically affected in ITP; the primary issue is with platelet counts.
C. WBC levels are generally normal in ITP, though they can vary in other conditions.
D. Platelets are expected to be decreased in ITP, which is characterized by an immune-mediated destruction of platelets.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.