While admitting a patient with pericarditis, what manifestations of this disorder should the nurse assess for?

Prolonged PR intervals.

Clubbing of the fingers.

Widened pulse pressure.

Pulsus paradoxus.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Prolonged PR intervals occur with first-degree AV block, not typically with pericarditis.
Choice B rationale
Clubbing of the fingers is a loss of the normal angle between the base of the nail and the skin. This finding can be found in endocarditis, congenital defects, and/or prolonged oxygen deficiency. It is not a typical manifestation of pericarditis.
Choice C rationale
Widened pulse pressure occurs with valvular heart disease, not typically with pericarditis.
Choice D rationale
Pulsus paradoxus is a sign of cardiac tamponade, a serious complication of pericarditis. As the compression of the heart increases, decreased left atrial filling decreases cardiac output.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
A 65-year-old male recovering from right lobectomy for treatment of lung cancer is at risk for developing sepsis. Post-surgical patients, especially those with cancer, are at increased risk due to potential infection at the surgical site and a weakened immune system from the cancer and/or its treatment.
Choice B rationale
A 78-year-old female with diabetes mellitus who is recovering from colon surgery is at risk for developing sepsis. Diabetes can impair the immune system, making it harder for the body to fight off infections. Additionally, any surgical procedure carries a risk of infection.
Choice C rationale
A 35-year-old female who is hospitalized with renal insufficiency and has a Foley catheter and central line in place is at risk for developing sepsis. Hospitalized patients, particularly those with invasive devices like catheters and central lines, are at increased risk due to potential introduction of bacteria into the body.
Choice D rationale
A 55-year-old male who is a recent kidney transplant recipient is at risk for developing sepsis. Transplant recipients are often on immunosuppressive therapy to prevent organ rejection, which can leave them more susceptible to infections.

A. A 59-year-old patient with unstable angina who has just returned from a percutaneous coronary intervention (PCI). B. A 56-year-old patient with variant angina due to receive nifedipine (Procardia). C. A 65-year-old patient who had a myocardial infarction (MI) 4 days ago and is anxious about discharge planned for today. D. A 39-year-old patient with pericarditis complaining of sharp, stabbing chest pain.

Correct Answer is A

Explanation

Choice A rationale
A 59-year-old patient with unstable angina who has just returned from a percutaneous coronary intervention (PCI) should be prioritized for assessment. PCI is a procedure to open blocked or narrowed coronary arteries and can lead to complications such as re-occlusion of the artery or bleeding from the catheter insertion site. Furthermore, unstable angina is a condition that can progress to myocardial infarction if not managed effectively.
Choice B rationale
A 56-year-old patient with variant angina due to receive nifedipine (Procardia) requires monitoring, but is not the highest priority. Variant angina is a form of angina that occurs at rest, often with severe pain, but it is usually well-controlled with medications like nifedipine.
Choice C rationale
A 65-year-old patient who had a myocardial infarction (MI) 4 days ago and is anxious about discharge planned for today is a lower priority for assessment. While it’s important to address the patient’s anxiety and provide education about post-discharge care, this patient is not in immediate danger.
Choice D rationale
A 39-year-old patient with pericarditis complaining of sharp, stabbing chest pain requires assessment, but is not the highest priority. Pericarditis is inflammation of the pericardium, the sac-like covering of the heart, and while it can cause severe pain, it is not typically life- threatening.

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While admitting a patient with pericarditis, what manifestations of this disorder should the nurse assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You’re providing care to four patients. Select all the patients who are at risk for developing sepsis:

Correct Answer is ["A","B","C","D"]

Explanation

After receiving the shift change report about four patients in the cardiac care unit, which patient should the nurse prioritize for assessment?

Correct Answer is A

Explanation

After the shift change, which patient in the emergency department should the nurse prioritize for assessment?

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The nurse is caring for a client with an acute myocardial infarction (AMI). What emergent procedure does the nurse anticipate the physician will order?

Which patient statement would help the nurse confirm a previous diagnosis of chronic stable angina?