A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?

"I will need to increase my fluids to 3 liters per day?

I should avoid driving due to my implanted defibrillator

"I should refrain from sexual activity while taking NSAIDS

"I will contact my health care provider if i develop chest pain.

Answer and Explanation

The Correct Answer is D

Rationale:
A. While adequate hydration is generally beneficial, pericarditis management does not typically require aggressive fluid intake, and overhydration could exacerbate complications, especially if there is concurrent heart failure.

B. This statement is not relevant to pericarditis, as having pericarditis does not necessitate avoidance of driving unless there are specific complications or comorbidities.

C. NSAIDs are used to reduce inflammation and pain in pericarditis; sexual activity is not contraindicated while on these medications unless the client is experiencing symptoms that limit activity.

D. This indicates understanding because chest pain can signify worsening pericarditis or complications such as cardiac tamponade or myocardial involvement, and prompt evaluation is necessary.

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Correct Answer is C

Explanation

Rationale:
A. Chronic aortic regurgitation typically does not cause bradycardia; the heart often compensates for the increased volume load by maintaining a normal or slightly elevated heart rate to preserve cardiac output.

B. This symptom is not characteristic of aortic regurgitation. Any abdominal discomfort in cardiac patients is more likely related to comorbidities or advanced heart failure affecting liver congestion, not the valve disease itself.

C. Chronic aortic regurgitation leads to volume overload of the left ventricle, causing left ventricular dilation and eventually increased pulmonary venous pressure. This results in left-sided heart failure symptoms, such as exertional dyspnea, fatigue, and decreased exercise tolerance, which often appear gradually as the disease progresses.

D. Typically associated with right-sided heart failure, peripheral edema is not an early or primary symptom of isolated aortic regurgitation. It may appear only in advanced stages if biventricular failure develops.

A. Prepare the defibrillator for potential use. B. Call the physician for further instructions. C. Assess the client's airway, breathing, and circulation. D. Administer antiarrhythmic medication.

Correct Answer is C

Explanation

Rationale:
A. While defibrillation may be necessary, it should not be the first action. Immediate assessment determines whether the client is pulseless or unstable, which guides the appropriate intervention.

B. Delaying assessment to contact the provider could waste critical time, especially in life-threatening arrhythmias like VT. Nurses must act immediately according to the patient’s condition and protocols.

C. The first action in any suspected life-threatening arrhythmia is to assess the patient’s ABCs. This assessment determines hemodynamic stability and guides whether to perform CPR, defibrillation, or prepare for cardioversion, prioritizing patient safety.

D. Antiarrhythmic drugs may be indicated after assessment and determination of stability, but they are not the initial intervention. Immediate evaluation of ABCs is required to prevent deterioration.

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A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of chronic aortic regurgitation?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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