Nursing. School. Life.

NCLEX Practice Question of the Week

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Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is caring for a client who has developed cardiac tamponade. Which finding would the nurse anticipate?

  1. Widening pulse pressure
  2. Pleural friction rub
  3. Distended neck veins
  4. Bradycardia

The correct answer is: 3 – Distended neck veins

Cardiac tamponade is when fluid fills in the space between the myocardium and pericardium, making it harder for the heart to pump. Treatment for Cardiac tamponade includes draining of the fluid (pericardiocentesis). If this is a chronic problem, a part or the entire pericardium is removed (pericardial window or pericardectomy).

Distended neck veins are commonly seen in patients who have CT.


Written by stereotypicalone

February 3, 2010 at 22:54

Posted in NCLEX

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