In which of the following dysrhythmias does the patient commonly complain of feelings of "palpitations"?
A. Suprventicular tachycardia
B. Premature ventricular contraction
C. Atrial fibrillation
D. A and B
ANS: D
In atrial fibrillation, the symptoms generally depend on the ventricular response rate. The patient may be very symptomatic, with shortness of breath, decreased exercise tolerance, and fatigue, or he or she may be completely asymptomatic. In supraventricular tachycardia, the rate is usually quite high, up to 200 beats per minute, and the patient is aware of palpitations. There may be accompanying complaints of shortness of breath and fatigue, particularly if the arrhythmia persists for any length of time. With bigeminy and trigeminy, patients are usually aware of palpitations or the sensation of missed beats. They may complain of shortness of breath and probably have more of a complaint of weakness or lightheadedness rather than fatigue.
You might also like to view...
A nurse is admitting a patient to a hospital unit. When admitting the patient, the nurse should
1. Maintain prolonged eye contact. 2. Address the patient by his or her last name. 3. Speak rapidly when interacting with the patient. 4. Use terms of endearment when conversing with the patient.
A furuncle is an acute inflammation that begins in a hair follicle
True False
During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
A. Diarrhea B. Hypermenorrhea C. Abdominal bleeding D. Abdominal distention
A client displays disorganized thinking, difficult-to-follow speech, and silly, inappropriate affect. The client isolates himself from other clients and staff, ignores unit activities, and often seems to be listening and responding to unseen stimuli
This client's behavior most closely conforms to the characteristic behavior of: 1. Residual schizophrenia 2. Schizoaffective disorder 3. Paranoid schizophrenia 4. Disorganized schizophrenia