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A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

A.

S3 heart sounds

B.

Increase in point of maximum impulse (PMI)

C.

Irregular pulsations

D.

Bradycardia

Answer and Explanation

The Correct Answer is C

A. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.

 

B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.

 

C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.

 

D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.


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View Related questions

Correct Answer is C

Explanation

A. 25 gtt/min: Calculating the correct rate reveals that this is not the correct answer.

B. 1500 gtt/min: This rate is too high; the calculation does not support this answer.

C. 50 gtt/min: To calculate: (100 mL / 120 min) × 30 gtt/mL = 50 gtt/min.

D. 83 gtt/min: This is too high based on the calculation.

Correct Answer is ["A","C","E"]

Explanation

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

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