Which of These Assessment Data Obtained by the Nurse When

question 9

Multiple Choice

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

• A) Blood pressure (BP) of 166/96
• B) Jugular vein distension (JVD) to the level of the jaw
• C) Pulsus paradoxus 8 mm Hg
• D) Level 6/10 chest pain with deep inspiration

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Definitions:

Delusions

Strongly held beliefs in something that is clearly not true or based on reality, often a symptom of psychiatric disorders.

Sociocognitive Explanation

A theory that attributes human behavior to the interaction of cognitive processes and societal influences.

Dissociative Identity Disorder

A psychological disorder characterized by the presence of two or more distinct personality states or identities within a single individual.

Insecure Attachments

A type of attachment style observed in some children who show anxiety or avoidance in relationships, often as a result of inconsistent caregiving.