Which signs and symptoms would alert the nurse to the possibility of a major complication in a client with pericarditis?*1 pointa. Chest pain and diaphoresisb. Hypotension and muffled heart soundsc. Dyspnea and copious blood-tinged, frothy sputumd. Tachycardia and oliguria
Question
Which signs and symptoms would alert the nurse to the possibility of a major complication in a client with pericarditis?*1 pointa. Chest pain and diaphoresisb. Hypotension and muffled heart soundsc. Dyspnea and copious blood-tinged, frothy sputumd. Tachycardia and oliguria
Solution
The signs and symptoms that would alert the nurse to the possibility of a major complication in a client with pericarditis are Hypotension and muffled heart sounds.
Here's why:
a. Chest pain and diaphoresis: While these symptoms can be associated with pericarditis, they are not specific to major complications of the condition.
b. Hypotension and muffled heart sounds: These are signs of cardiac tamponade, a serious complication of pericarditis. Hypotension (low blood pressure) can occur because the fluid in the pericardium prevents the heart from expanding fully, which reduces the amount of blood it can pump. Muffled heart sounds are due to the same fluid dampening the noise of the heartbeats.
c. Dyspnea and copious blood-tinged, frothy sputum: These symptoms are more commonly associated with conditions affecting the lungs, such as pulmonary edema.
d. Tachycardia and oliguria: Tachycardia (fast heart rate) can be a sign of many different conditions, not specifically a complication of pericarditis. Oliguria (low urine output) could suggest a problem with kidney function, but it's not specifically a sign of a pericarditis complication.
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