The nurse is assessing for pulsus paradoxus in a patient who was in a car accident. Which of the following results suggest the patient is developing cardiac tamponade?
A) A decrease of 10 mm Hg in systolic blood pressure during inspiration
B) An increase of 10 mm Hg in systolic blood pressure during inspiration
C) A decrease of 10 mm Hg in diastolic blood pressure during inspiration
D) An increase of 10 mm Hg in diastolic blood pressure during inspiration
A) A decrease of 10 mm Hg in systolic blood pressure during inspiration
Explanation: A) Pulsus paradoxus is a characteristic finding of cardiac tamponade in which there is an abnormal decrease of more than 10 mmHg in systolic blood pressure during inspiration. Pulsus paradoxus is measured by using a stethoscope and manual sphygmomanometer to estimate hemodynamic impairment associated with pericardial effusion, which is more detrimental if the pericardial effusion is evolving rapidly.
B) Pulsus paradoxus is a characteristic finding of cardiac tamponade in which there is an abnormal decrease of more than 10 mmHg in systolic blood pressure during inspiration.
C) Pulsus paradoxus is a characteristic finding of cardiac tamponade in which there is an abnormal decrease of more than 10 mmHg in systolic blood pressure during inspiration.
D) Pulsus paradoxus is a characteristic finding of cardiac tamponade in which there is an abnormal decrease of more than 10 mmHg in systolic blood pressure during inspiration.
You might also like to view...
A 30-year-old obese female patient who underwent gastric banding 3 days ago is getting ready to go home
Essential postoperative teaching for this patient should include instruction related to the importance of abstaining from what for the next 2 years? A) Multivitamin supplements B) Pregnancy C) Antidepressants D) Control-top panty hose
Nurses working with persons at high risk for NCDs encourage their patients to prevent disease development by
A. Incorporating healthy eating habits B. Leading a sedentary lifestyle C. Getting regular preventive screenings D. Both 1 and 3
Since chemical dependency is a family disease, it is important to help nonabusing family members change overly responsible behaviors such as:
A) Distancing themselves from the client's problem. B) Expressing their feelings directly. C) Covering up for problems the client has. D) Rejecting the client until the client is chemically clean.
Diabetes mellitus Type 2 has been increasing in children because of:
1. Environmental surroundings. 2. Autoimmune disorders. 3. Obesity. 4. Earlier use of drugs and alcohol in children.