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 C

Explanation

A. "A heart murmur is a high-pitched sound due to a narrow valve." Not all murmurs are high-pitched, nor are they always due to a narrow valve.

B. "This means that there is some inflammation around your heart." A murmur does not indicate inflammation around the heart; it typically indicates abnormal blood flow.

C. "This indicates turbulent blood flow through a valve." A heart murmur is caused by turbulent blood flow, often through a damaged or abnormal valve.

D. "A heart murmur is an extra sound due to blood entering an inflexible chamber." While inflexible chambers can cause extra heart sounds, this does not describe a murmur.

A. "Your heart condition is caused from stiffening of the walls of the ventricles." B. "Your heart condition is caused by excessive stretching of the ventricles." C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." D. "Your heart condition is caused by thickening of the ventricular walls and septum."

Correct Answer is B

Explanation

A. "Your heart condition is caused from stiffening of the walls of the ventricles." Stiffening of the ventricular walls describes restrictive cardiomyopathy, not DCM.

B. "Your heart condition is caused by excessive stretching of the ventricles." DCM involves excessive stretching and thinning of the ventricular walls, leading to impaired contraction.

C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." This describes arrhythmogenic right ventricular dysplasia, not DCM.

D. "Your heart condition is caused by thickening of the ventricular walls and septum." This describes hypertrophic cardiomyopathy, not DCM.

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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?

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