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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Pericarditis is an inflammation of the pericardium and would not directly cause an S4 heart sound.

Choice B rationale:

Arterial obstruction or aneurysm would cause changes in blood flow, but not specifically an S4 heart sound.

Choice C rationale:

An S4 heart sound is an extra sound that is heard late in diastole just before S1. It occurs due to resistance to blood flow in an enlarged ventricle, often due to forceful atrial contraction to overcome ventricular resistance.

Choice D rationale:

An infectious valvular disorder could cause a variety of heart sounds, but not specifically an S42.

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

A. "I will check my pulse rate before I take any nitroglycerin tablets.”. B. "I will sit down before I put the nitroglycerin under my tongue.”. C. "I will remove the nitroglycerin patch before taking sublingual nitroglycerin.”. D. "I will put the nitroglycerin patch on as soon as I get any chest pain.”.

Correct Answer is B

Explanation

Choice A rationale:

Checking the pulse rate before taking nitroglycerin is not necessary.

Choice B rationale:

Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin.

Choice C rationale:

There is no need to remove the nitroglycerin patch before taking sublingual nitroglycerin.

Choice D rationale:

The nitroglycerin patch should not be used to treat acute chest pain.

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

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

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Naxlex Comprehensive Predictor Exams

While auscultating a patient's heart sounds, a nurse detects a fourth heart sound (S4). The nurse understands that this finding possibly indicates:.

Correct Answer is C

Explanation

In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?.

Correct Answer is B

Explanation

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