Which assessment finding alerts the nurse to the possibility of decreased cardiac output in the patient who suddenly develops atrial fibrillation?
Increase capillary refill time.
Rumbling heart murmur.
Intermittent claudication.
Jugular venous distension.
The Correct Answer is A
A. An increased capillary refill time suggests reduced perfusion and may indicate decreased cardiac output, which is critical to assess in patients with atrial fibrillation as it can lead to hemodynamic instability.
B. A rumbling heart murmur may suggest valvular disease but is not specifically indicative of decreased cardiac output in this scenario.
C. Intermittent claudication typically indicates peripheral arterial disease and is not a direct sign of decreased cardiac output.
D. Jugular venous distension can indicate fluid overload or right-sided heart failure, but it is not the most direct indicator of decreased cardiac output compared to capillary refill time.
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Correct Answer is C
Explanation
A. While CKD does reduce erythropoietin production, this affects anemia rather than bone health or fracture risk.
B. CKD often leads to decreased calcium absorption due to impaired vitamin D activation, not an increased absorption.C. In CKD, the kidneys lose the ability to convert vitamin D to its active form, impairing calcium absorption from the intestine and weakening
Correct Answer is C
Explanation
A. Accessory muscle use and nasal flaring may occur, but wheezing on exhalation is more typical in lower respiratory issues, such as asthma.
B. Thick mucus plugs and clubbing of the fingers are often associated with chronic conditions like cystic fibrosis, not croup.
C. Croup is a viral illness commonly presenting with fever, a characteristic “barking” cough, increased respiratory rate, and inspiratory stridor due to upper airway obstruction.
D. Frothy pink sputum and crackles are more indicative of pulmonary edema rather than croup.
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