A patient has pain due to acute pericarditis. Which action would the nurse take?.

Teach the patient to take deep, slow breaths to control the pain.

Place the patient in Fowler's position, leaning forward on the table.

Force fluids to 3000 mL/day to decrease the inflammation.

Provide a fresh ice bag every hour for the patient to place on the chest.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Teaching the patient to take deep, slow breaths might not be effective in controlling the pain due to acute pericarditis.

Choice B rationale:

Placing the patient in Fowler’s position, leaning forward on the table, can help relieve the pain associated with acute pericarditis.

Choice C rationale:

Forcing fluids to 3000 mL/day to decrease inflammation is not a recommended action for managing pain due to acute pericarditis.

Choice D rationale:

Providing a fresh ice bag every hour for the patient to place on the chest is not a recommended action for managing pain due to acute pericarditis.

So, the correct answer is B, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale:

Digoxin is used to treat heart failure and atrial fibrillation, but it doesn’t directly address the fluid accumulation in the lungs caused by pulmonary edema.

Choice B rationale:

Captopril, an ACE inhibitor, can help reduce fluid buildup and is typically beneficial for patients with pulmonary edema.

Choice C rationale:

Furosemide is a diuretic that helps remove excess fluid from the body, making it a key medication for treating pulmonary edema.

Choice D rationale:

Carvedilol, a beta blocker, can be used to treat heart failure and hypertension, conditions that can contribute to pulmonary edema.

So, the correct answer is A, after analyzing all choices.

A. Check the electrocardiogram (ECG) for ST segment changes. B. Assess for the presence of jugular venous distention (VD). C. Monitor for changes in the patient's sedimentation rate. D. Assess for the presence of a paradoxical pulse.

Correct Answer is B

Explanation

Choice A rationale:

ST segment changes on an ECG are not typically associated with chronic constrictive pericarditis.

Choice B rationale:

Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective.

Choice C rationale:

While the sedimentation rate can indicate inflammation, it is not specific to chronic constrictive pericarditis.

Choice D rationale:

The presence of a paradoxical pulse is not typically associated with chronic constrictive pericarditis.

So, the correct answer is B, after analyzing all choices.

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A patient has pain due to acute pericarditis. Which action would the nurse take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

Correct Answer is A

Explanation

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

Correct Answer is B

Explanation

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