You are providing care to a patient with pericarditis.

Which of the following is NOT a proper nursing intervention for this patient?

Administer Ibuprofen as scheduled.

Monitor the patient for complications of cardiac tamponade.

Place the patient in a supine position to relieve pain.

Monitor the patient for pulsus paradoxus and muffled heart sounds.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Administering Ibuprofen as scheduled is a proper nursing intervention for a patient with pericarditis. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and relieve pain.
Choice B rationale
Monitoring the patient for complications of cardiac tamponade is a proper nursing intervention for a patient with pericarditis. Cardiac tamponade is a serious condition that can occur as a complication of pericarditis.
Choice C rationale
Placing the patient in a supine position to relieve pain is not a proper nursing intervention for a patient with pericarditis. This position could actually increase the patient’s discomfort.
Instead, the patient should be positioned upright and leaning forward to help relieve pain.
Choice D rationale
Monitoring the patient for pulsus paradoxus and muffled heart sounds is a proper nursing intervention for a patient with pericarditis. These are potential signs of worsening pericarditis or complications such as cardiac tamponade.

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Correct Answer is D

Explanation

Choice A rationale
Atrial Flutter is a type of arrhythmia where the atria beat regularly, but much faster than usual. The treatment for Atrial Flutter is typically medication, not cardioversion.
Choice B rationale
Ventricular Tachycardia is a fast, abnormal heart rate. It starts in your heart’s lower chambers, or ventricles. Ventricular Tachycardia is a serious condition and can be life-threatening. While cardioversion can be used in some cases, it is not the primary treatment.
Choice C rationale
Atrial Fibrillation is when the upper chambers of the heart (atria) beat irregularly. This causes the atria to twitch, leading to an abnormal heart rhythm. The treatment for Atrial Fibrillation is typically medication, not cardioversion.
Choice D rationale
Ventricular Fibrillation is a life-threatening heart rhythm that results in a rapid, erratic heartbeat. During Ventricular Fibrillation, the heart quivers and can’t pump any blood, causing cardiac arrest. The treatment for Ventricular Fibrillation is Defibrillation.

A. Weight loss. B. Exercise programs. C. Beta-blockers. D. Decreased sodium intake. E. Smoking cessation.

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

Explanation

Choice A rationale
Weight loss is often recommended as a first-line therapeutic approach to lowering blood pressure in patients diagnosed with essential hypertension. Excess weight can increase the strain on the heart and blood vessels, leading to higher blood pressure.
Choice B rationale
Regular physical activity is another important part of managing hypertension. Exercise can help lower blood pressure by improving heart health and reducing weight.
Choice C rationale
Beta-blockers, such as propranolol, are a type of medication used to treat hypertension. However, they are not typically the first choice for initial therapy unless the patient has a specific indication for this class of medication, such as heart failure or angina.
Choice D rationale
Decreasing sodium intake is another lifestyle change that can help lower blood pressure. Consuming too much sodium can cause the body to retain fluid, which can increase blood pressure.
Choice E rationale
Smoking cessation is also recommended for patients with hypertension. While smoking does not directly cause high blood pressure, it can damage blood vessels and increase the risk of heart disease.

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You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient?

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Naxlex Comprehensive Predictor Exams

A nurse in the Emergency Department is evaluating a patient’s cardiac rhythm. What is the correct interpretation of the rhythm and the appropriate treatment?

Correct Answer is D

Explanation

What is included in the first-line therapeutic approach to lowering blood pressure in a patient diagnosed with essential hypertension? (Select all that apply)

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

Explanation

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What factor would contraindicate the use of propranolol (Inderal) in a 38-year-old obese African American patient with diabetes who is being evaluated for hypertension control?

You are providing care to a patient with pericarditis.

Which of the following is NOT a proper nursing intervention for this patient?