A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?
Irregular pulsations
Bounding pulsations
Tachycardia
Bradycardia
The Correct Answer is A
A. Irregular pulsations are expected with PVCs because they cause occasional early beats that disrupt the regular rhythm of the pulse.
B. Bounding pulsations are not specific to PVCs and are more indicative of conditions like high cardiac output states.
C. Tachycardia is not a direct finding associated with PVCs; PVCs are more about irregular beats rather than a consistently high heart rate.
D. Bradycardia is not typically associated with PVCs; PVCs are characterized by irregular beats but not necessarily a slow heart rate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Neurologic deficits increasing over 2 weeks are more characteristic of subdural hematomas, not epidural hematomas.
B. A change in the level of consciousness that develops over 48 hours is typical of subdural hematomas.
C. An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.
D. Cognitive perception that decreases over several months post-injury is not typical of epidural hematomas, which generally cause acute and rapid changes.
Correct Answer is B
Explanation
A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.
B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.
D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.
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