A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

S3 heart sounds

Increase in point of maximum impulse (PMI)

Irregular pulsations

Bradycardia

Answer and Explanation

The Correct Answer is C

A. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.

B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.

C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.

D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.

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Correct Answer is ["A","C","E"]

Explanation

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

A. Obtain a blood sample. B. Initiate oxygen therapy. C. Attach the leads for a 12-lead ECG. D. Insert the IV catheter.

Correct Answer is B

Explanation

A. Obtain a blood sample. Although obtaining a blood sample is essential for cardiac enzyme levels, it is not the highest priority. Addressing oxygenation takes precedence to relieve hypoxia.

B. Initiate oxygen therapy. Oxygen is the first priority to improve oxygenation in a client showing signs of hypoxia (cyanosis, dyspnea), which can prevent further ischemic damage to the heart.

C. Attach the leads for a 12-lead ECG. While obtaining an ECG is essential for diagnosing myocardial ischemia, ensuring oxygenation is more critical in this moment.

D. Insert the IV catheter. An IV line is necessary to administer fluids and medications, but oxygenation should be prioritized first to stabilize the client.

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A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

Correct Answer is B

Explanation

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