Which Assessment Finding Obtained by the Nurse When Assessing a Patient

question 31

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 mm Hg
• 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:

Dispositional Traits

Enduring personal characteristics that influence behavior and attitudes across various situations.

Proximity to the Victim

The physical or emotional closeness to someone who has experienced harm, impacting one's response to the victim or the situation.

Immediacy of Authority

Immediacy of authority refers to the perceived closeness, in terms of power or spatial distance, between an authority figure and an individual, influencing obedience levels.

Peer Pressure

The influence exerted by a peer group in encouraging a person to change their attitudes, values, or behaviors to conform to group norms.