A 56-year-old presents to his primary care provider for a checkup. Physical exam reveals edema, hepatomegaly, and muffled heart sounds. Which of the following is of greatest concern to the nurse?
a. Tamponade
b. Exudate
c. Aneurysm
d. Pulsus paradoxus
ANS: A
Muffled heart sounds are an indication of tamponade, and with tamponade the blood backs up into the venous system, leading to hepatomegaly. Muffled heart sounds with hepatomegaly are symptoms of tamponade, not exudates. An aneurysm would present without symptoms. Pulsus paradoxus is manifested by a change in blood pressure during inspiration and expiration.
You might also like to view...
________ radiation involves introducing a liquid form of a radioactive substance into the patient by mouth, through the bloodstream, or instilling into a body cavity
a. Open b. Closed c. Sealed d. Unsealed
It is common to send out memos to patients
Indicate whether the statement is true or false
All of the following are part of the peripheral nervous system EXCEPT the
afferent nerves brain autonomic nervous system spinal nerves
Using an ICD-9-CM code book, select the appropriate code(s) for the diagnostic statements given in the following questions
Hypertrophy of infrapatellar fat pad