The nurse is caring for a patient who has neoplastic disease and is exhibiting signs of cardiac tamponade. An emergency pericardiocentesis is the intervention of choice when
A) the patient becomes cyanotic and shocky.
B) the pulsus paradoxus is between 20 and 30% of the pulse pressure.
C) there is an increase of more than 20 mmHg in pulse pressure.
D) the peripheral venous pressure is below 10 mmHg.
A
You might also like to view...
A patient is admitted to the unit with obsessive-compulsive disorder (OCD). What drug might the nurse administer that has been found to be effective for treating OCD?
A) Fluvoxamine B) Phenelzine C) Desipramine D) Amitriptyline
"Which of the following is not a type of medical insurance?
A. Medicare B. Tricare C. Self-pay from patient D. Workers' Compensation
Which medication is the most common and effective antiplatelet aggregation agent?
a. Warfarin b. Aspirin c. Alteplase (Activase) d. Reteplase (Retavase)
The patient has a 15-cm laceration on his right forearm, and an infection develops. Which of the following is a sign of an acute inflammatory process?
a. A blanching of the skin b. A decrease in temperature at the site c. A decrease in the number of white blood cells (WBCs) d. A release of histamine that adds to the pain response