A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?
Check your skin for increased bruising
Missing 1 dose of medication is not a risk
The client may develop hypothyroidism.
Hypertension is not a risk factor
The Correct Answer is A
Rationale:
A. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.
B. Missing doses of medication can increase the risk of complications in atrial fibrillation.
C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.
D. Hypertension is a risk factor for atrial fibrillation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. This is not correct since a sinus tachycardia show have a sinus P wave unlike in the strip.
B. This is incorrect since a junctional rhythm should have a regular ventricular rhythm unlike in the above strip which is irregular.
C. A first degree heart block should have a PR interval greater than 0.20 without a disruption in the atrial to ventricular conduction.
D. This is correct since the rhythm is irregular and the P waves are absent.
Correct Answer is C
Explanation
Rationale:
A. Diminished breath sounds are not typically associated with a pericardial effusion.
B. Increased blood pressure is not typically associated with a pericardial effusion but it can instead result in hypotension due to decreased cardiac output due to compression of the heart by the accumulated fluid.
C. The heart sounds may become faint or distant due to fluid accumulation around the heart.
D. A new systolic murmur may indicate a pericardial effusion and should be further evaluated.
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