SIGNS/SYMPTOMS

Question 1

The client who has ______ will have pulsus paradoxus when the systolic blood pressure is at least 10 mm Hg higher on expiration than on inspiration. This occurs because of the sudden decrease in cardiac output from the fluid compressing the atria and ventricles.

Answer 1

cardiac tamponade

Question 2

S/S CARDIAC TAMPONADE

Answer 2

1. PULSUS PARADOXUS
2. MUFFLED HEART SOUNDS
3. HYPOTENSION

Question 3

A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions should the nurse expect?

Answer 3

Pulmonary congestion occurs due to right-sided heart failure. Because of the defect in the mitral valve, the left atrial pressure rises, the left atrium dilates, there is an increase in pulmonary artery pressure, and hypertrophy of the right ventricle occurs. In this case, dyspnea is an indication of pulmonary congestion and right-sided heart failure.

Question 4

A nurse is assessing a client who has pericarditis. Which of the following manifestations should the nurse expect?

Answer 4

the client who has pericarditis will experience dyspnea, hiccups, and a nonproductive cough. These manifestations can indicate heart failure from pericardial compression due to constrictive pericarditis or cardiac tamponade.