The nurse providing discharge teaching to a client admitted with pericarditis. The nurse informs the client that pericarditis can lead to:
Scarring of the mitral valve
Deformity of the valve leaflets
Inflammation of the endocardium
Pericardial effusion
The Correct Answer is D
A. Scarring of the mitral valve is typically associated with rheumatic heart disease, not pericarditis.
B. Deformity of the valve leaflets is seen in valvular heart diseases, not pericarditis.
C. Inflammation of the endocardium refers to endocarditis, a different condition from pericarditis.
D. Pericardial effusion, the accumulation of fluid in the pericardial sac, is a common complication of pericarditis and can lead to cardiac tamponade if not managed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The T wave is in the inverted position – In a normal sinus rhythm, the T wave should be upright in most leads. An inverted T wave may indicate ischemia or other pathology.
B. The P-R interval measures 0.22 seconds – A normal P-R interval is between 0.12 and 0.20 seconds. A P-R interval of 0.22 seconds suggests a first-degree heart block.
C. The P wave falls before the QRS complex – In normal sinus rhythm, each P wave precedes a QRS complex, indicating that the electrical impulse originates from the sinoatrial (SA) node.
D. The QRS duration is 0.20 seconds – A normal QRS duration is 0.06 to 0.10 seconds. A QRS duration of 0.20 seconds is prolonged and suggests a conduction abnormality such as a bundle branch block.
Correct Answer is A
Explanation
A. PVCs during suctioning may indicate hypoxia or irritation; the priority is to stop suctioning and ventilate the patient with 100% oxygen to prevent worsening arrhythmias.
B. Medications may be needed later, but immediate action is oxygenation and stopping suctioning.
C. Adjusting suction pressure is important but secondary to ensuring patient oxygenation.
D. Documentation is necessary but not the priority when PVCs are noted.
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