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A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?

Hypertensive crisis

Cardiogenic shock

Flash pulmonary edema

Embolic cerebral vascular accident

Answer and Explanation

The Correct Answer is D

Rationale:

A. Hypertensive crisis is not a common complication of atrial fibrillation.

B. Cardiogenic shock is not a common complication of atrial fibrillation.

C. Flash pulmonary edema is not a common complication of atrial fibrillation.

D. Atrial fibrillation can lead to the formation of blood clots in the atria, which can then travel to the brain and cause a stroke or embolic cerebral vascular accident.

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Correct Answer is A

Explanation

Rationale:

A. Elevated Troponins indicate myocardial injury or infarction.

B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.

C. Elevated Hemoglobin is not specific to cardiac injury.

D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.

A. Murmur B. S3 and S4 C. Click D. Friction rub

Correct Answer is A

Explanation

Rationale:

A. Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.

B. S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.

C. A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.

D. A friction rub is typically associated with pericarditis, not mitral valve regurgitation.

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A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

Correct Answer is A

Explanation

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Correct Answer is A

Explanation

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A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

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