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Which findings would support cardiac tamponade? Bradycardia Hypertension Restlessness Muffled heart sounds Widened pulse pressure Distended neck veins - Restlessness Muffled heart sounds Distended neck veins Cardiac tamponade is a life-threatening condition caused by the accumulation of fluid in the pericardium. This fluid, which can be blood, pus, or air, compresses the heart and restricts blood flow to the ventricles. Symptoms of cardiac tamponade include elevated venous pressure, distended neck veins, Kussmaul's sign, hypotension and narrowed pulse pressure, tachycardia, dyspnea, restlessness, and anxiety, cyanosis of the lips and nails, diaphoresis, muffled heart sounds, pulsus paradoxus, decreased friction rub, decreased QRS voltage, and electrical alternans. The nurse is evaluating an external fetal monitoring strip of a client in labor. What condition is the nurse concerned about? Cephalopelvic disproportion Oligohydramnios Uteroplacental insufficiency Hydramnios - Uteroplacental insufficiencyThis fetal monitoring strip illustrates a late deceleration. The decrease in fetal heart rate begins after the peak of the contraction and doesn't return to baseline until the contraction is over. Late decelerations are associated with uteroplacental insufficiency, shock, or fetal metabolic acidosis. Cephalopelvic disproportion may cause early, not late, decelerations early in labor. Oligohydramnios be associated with variable decelerations. Hydramnios may be associated with uterine rupture. The nurse is caring for a child with tricuspid atresia who develops polycythemia. Which statements most accurately describe this manifestation? - Polycythemia is an increased number of red blood cells, thereby increasing the ability of the blood to carry oxygen to the cells. It is the body's attempt at compensating for the chronic hypoxia associated with this heart defect. Due to this clinical manifestation, the viscosity of the blood increases, which leaves the child at risk for developing a thrombus, particularly when dehydrated. There is also not as much room for clotting factors, which can leave the child at risk for blood clotting disorders. A client is admitted with hemophilia A. Which sports should the nurse recommend as safe for the client to participate? Select all that apply. - Swimming Golf Hemophilia A or classic hemophilia is a bleeding disorder that results from a deficiency or abnormality of clotting factor VIII. A client with hemophilia should avoid contact sports like soccer, baseball, and basketball because of the risk of bleeding with injury. The client can safely participate in noncontact sports such as swimming and golf. The parents of an infant recently diagnosed with tricuspid atresia have been told that their child will need a series of surgeries, in three stages, during the first few years of life. Which statements indicate that the parents have an understanding of the procedures? Select all that apply. "My child will have this dusky color for the rest of his life." "These procedures will make my child have a normal heart." "Once fixed, my baby will not have to take any more medicine." "My baby will be just like all of the other children once the surgeries are all done." "My child will have to be closely monitored for signs of a stroke. - "My child will have this dusky color for the rest of his life." "My child will have to be closely monitored for signs of a stroke." The child will be dusky, particularly around mucous membranes and nail beds, for the rest of his life as a result of chronic hypoxemia. The resultant polycythemia and increased blood viscosity increase the child's chances of developing a thrombus, leading to a cerebrovascular accident or stroke. The threesurgeries do give the child a "normal" heart, as they do not fix the original defect. The child will more than likely be on medications for the rest of his life, and will likely be smaller in stature than other children. A client is diagnosed with postpartum preeclampsia and asks the nurse what could have caused this to occur. Which causative factors should the nurse include in her teaching? Select all that apply. Obesity Prolonged labor Fetal distress at birth Poor diet Damage to blood vessels during birth - Obes
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