Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Check the electrocardiogram (ECG) for ST segment changes.
Assess for the presence of jugular venous distention (VD).
Monitor for changes in the patient's sedimentation rate.
Assess for the presence of a paradoxical pulse.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A brief episode of ventricular tachycardia, or a rapid heart rate, can occur in patients receiving thrombolytic therapy. However, it is not typically a reason to stop the drug infusion.
Choice B rationale:
Bleeding from the gums can be a sign of excessive bleeding, which is a major risk of thrombolytic therapy. This would be a reason to stop the drug infusion.
Choice C rationale:
A decreased level of consciousness can have many causes and is not specifically associated with thrombolytic therapy.
Choice D rationale:
An increase in blood pressure is not typically a reason to stop thrombolytic therapy.
So, the correct answer is B, after analyzing all choices.
Correct Answer is D
Explanation
Choice A rationale:
The pain level of 3 to 5 on a scale of 0 to 10 does not specifically indicate chronic stable angina.
Choice B rationale:
Pain that has worsened over the last week could indicate a number of conditions, not specifically chronic stable angina.
Choice C rationale:
Pain that wakes a patient up at night could be a sign of a number of conditions, not specifically chronic stable angina.
Choice D rationale:
Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient’s pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina.
So, the correct answer is Choice D, after analyzing all choices.
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