Cardiac Disorders NCLEX Questions | Nurselytic

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Cardiac Disorders NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse assessing the client with pericardial effusion at 1600 notes the apical pulse is 72 and the BP is 138/94. At 1800, the client has neck vein distention, the apical pulse is 70, and the BP is 106/94. Which action would the nurse implement first?

Correct Answer: B

Rationale: JVD and hypotension (BP drop to 106/94) suggest cardiac tamponade; notifying the HCP (
B) is urgent. Staying calm (
A), lateral position (
C), and morphine (
D) are secondary.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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