Which Assessment Finding Obtained by the Nurse When Assessing a Patient

question 5

Multiple Choice

Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?

• A) Pulsus paradoxus 8 mm Hg
• B) Blood pressure (BP) of 168/94
• C) Jugular venous distention (JVD) to jaw level
• D) Level 6 (0 to 10 scale) chest pain with a deep breath

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Definitions:

Maturation

Changes that occur according to one’s genetically determined biological timetable of development.

Learning

A process that induces changes in knowledge, behaviors, or attitudes through experience, practice, or study.

Relatively Permanent

A term often used in psychology to describe changes or effects that endure over time, although not necessarily without the possibility of change.

Classical Conditioning

A conditioning method where the continuous association of two stimuli results in a response initially provoked by the second stimulus becoming evoked by the sole presentation of the first stimulus.