Practice Question
A nurse is collecting data on a client who has a pericardial effusion and has developed hypotension and muffled heart sounds. Which of the flowing procedures should the nurse anticipate for this client?
Answer Choices:
Correct Answer:
Pericardiocentesis
Rationale:
💎 Pericardial effusion with hypotension and muffled heart sounds indicates cardiac tamponade, an emergency condition.
💎 Pericardiocentesis is the procedure used to drain excess fluid from the pericardial sac and relieve pressure on the heart.
💎 Other procedures, such as left ventricular assist device or septal myectomy, are unrelated to immediate fluid removal.
💎 Early intervention prevents hemodynamic collapse and restores cardiac output.
💎 Nurses must monitor vital signs, prepare equipment, and assist the provider during the procedure.
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This question is from PNC 106 MEDSURG DAY CLASS MIDTERM which contains 49 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4