A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?
Oxygen saturation reading of 99% on room air
Slurred speech
Decrease in intensity of chest pain
Elevated blood Pressure
The Correct Answer is B
Choice A rationale: An oxygen saturation reading of 99% on room air is normal8.
Choice B rationale: Slurred speech could indicate a stroke, which is a potential complication of atrial fibrillation due to the risk of clot formation8.
Choice C rationale: A decrease in intensity of chest pain is not typically a sign of worsening atrial fibrillation8.
Choice D rationale: While elevated blood pressure can be associated with atrial fibrillation, it is not a specific sign of worsening atrial fibrillation8.
So, the correct answer is Choice B, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While a chest x-ray can provide useful information about the heart and lungs, it is not typically required before an elective cardioversion89.
Choice B rationale: A transesophageal echocardiogram is often performed before cardioversion to check for the presence of any clots in the heart891011.
Choice C rationale: An exercise stress test is not typically required before an elective cardioversion89.
Choice D rationale: A central line placement for thrombolytic medication administration is not typically required before an elective cardioversion89.
So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale: Shortness of breath is a common symptom in atrial fibrillation due to the heart’s inability to pump blood effectively12.
Choice B rationale: Hypotension can occur in atrial fibrillation due to decreased cardiac output12.
Choice C rationale: Hypertension is not typically a direct result of atrial fibrillation. However, long-term untreated hypertension can be a cause of atrial fibrillation12.
Choice D rationale: Chest pain can occur in atrial fibrillation due to decreased blood flow to the heart12.
Choice E rationale: Dizziness is a common symptom in atrial fibrillation due to decreased blood flow to the brain12.
Choice F rationale: Bounding pulses are not typically associated with atrial fibrillation12.
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