The nurse is caring for a client who is suffering from frequent premature ventricular contractions. Which of the following is true of this condition? Select all that apply.
a. The client is usually hypertensive
b. It arises from one or more atrial ectopic foci
c. The client may experience an irregular heartbeat
d. It is commonly caused by a myocardial infarction
e. It may decrease the efficiency of the heart's pumping action
c. The client may experience an irregular heartbeat
d. It is commonly caused by a myocardial infarction
e. It may decrease the efficiency of the heart's pumping action
rationale: It is commonly caused by myocardial infarction, and the client is usually normotensive. The condition arises from one or more ventricular ectopic foci. The nurse should notify the provider if the PVCs increase in frequency, are accompanied by chest pain, are multifocal, occur on the T wave or in runs of v-tach. A PVC is an irregular heartbeat, and the client will be able to feel the irregularity.The client with frequent premature ventricular contractions may have a decrease in the efficiency of the heart's pumping action, as it can reduce cardiac output.
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