A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Diminished breath sounds

Increased blood pressure

Diminished heart sounds

New systolic murmur

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

Rationale:

A. Nitroglycerin does not interact with contrast material.

B. Carvedilol does not interact with contrast material.

C. Atorvastatin does not interact with contrast material.

D. Metformin can interact with contrast material and increase the risk of acute kidney injury. It is typically held before and after procedures involving contrast material.

A. The client will need annual flu vaccine B. Update Covid 19 vaccination C. You will require antibiotics before dental work. D. Avoid sick contacts

Correct Answer is C

Explanation

Rationale:

A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.

B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.

C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.

D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.

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A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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