The nurse is caring for a client on a cardiac monitor. The monitor shows a rapid rhythm with a "saw tooth" configuration. What physical assessment findings does the nurse expect?
a. Presence of a split S1 and wheezing
b. Anorexia and gastric distress
c. Shortness of breath and anxiety
d. Hypertension and mental status changes
C
The rhythm described is atrial flutter with a rapid ventricular response. Rapid atrial flutter may manifest with palpitations, shortness of breath, and anxiety. Syncope, angina, and evidence of heart failure also may be present.
You might also like to view...
Why is it important for the nurse to assess the bladder regularly and encourage the laboring client to void every 2 hours?
1. A full bladder impedes oxygen flow to the fetus. 2. Frequent voiding prevents bruising of the bladder. 3. Frequent voiding encourages sphincter control. 4. A full bladder can impede fetal descent.
The nurse caring for a client with polycythemia vera explains the objective of phlebotomies is to decrease the hematocrit to
a. 15%. b. 25%. c. 35%. d. 45%.
Which does the nurse implement to locate the adult client's apical pulse?
1. Percusses the left ventricular wall. 2. Palpates along the left sternal border. 3. Directs client to lie in supine position. 4. Listens at fifth intercostal space at PMI.
What is a hormone secreted from the posterior lobe of the pituitary gland?
A. LH B. MSH C. ADH D. GnRH