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

Answer and Explanation

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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Correct Answer is D

Explanation

A. "I will not be allowed to drink much liquid for 12 hours after the procedure." is incorrect. The client is usually encouraged to drink fluids after the procedure to help flush the contrast material from the body.

B. "I can expect to have some itching during the procedure." is incorrect. Itching is not a typical expectation of the myelogram procedure.

C. "I will have a radioactive substance injected during the procedure." is incorrect. A myelogram involves the injection of a contrast dye, not a radioactive substance.

D. "I will need to keep my head elevated after the procedure." is correct. Keeping the head elevated after a myelogram helps prevent headaches and other complications from the procedure.

A. Skeletal pain B. Waddling gait C. Cranial enlargement D. Vision deficits E. Cold extremities

Correct Answer is ["A","B","C","D"]

Explanation

A. Skeletal pain: Paget's disease of the bone often results in bone pain due to the excessive breakdown and regrowth of bone tissue.
B. Waddling gait: The disease can cause leg bones to bend, leading to a waddling gait.
C. Cranial enlargement: Overgrowth of bone in the skull can occur, potentially leading to cranial enlargement.
D. Vision deficits: When Paget's disease affects the skull, it can put pressure on nerves, possibly leading to vision deficits.
E. Cold extremities: This is not a typical symptom of Paget's disease of the bone and is therefore not a correct answer. Cold extremities are more commonly associated with peripheral vascular diseases rather than Paget's disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who is scheduled for a myelogram. Which of the following statements indicates the client understands the teaching?

Correct Answer is D

Explanation

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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