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:

Evaluation Apprehension

Anxiety or fear about being judged or evaluated by others.

Introversion

A feature defined by an emphasis on personal emotions over outside stimulants.

Type A Personality

A personality type characterized by competitiveness, high ambition, impatience, and a high level of stress.

Achievement Motivation

A psychological concept involving an individual’s desire to meet standards of excellence and accomplish set goals.