Mr James Nino Eric 54years old male undergoes Pericardial tap.( known as Pericardiocentesis)An invasive procedure which involves the use of a needle and catheter to remove fluid from the sac around the heart. The fluid is then sent to the laboratory to test for signs of cancer or infection. The nurse upon assessment finds out distended neck veins,lungs clear, and low blood pressure.
(1)This findings indicate that patient has developed.
(A) Enlarged heart.
(B) Pulmonary embolism.
(C) Cardiac tamponade.
(D) Hypotension.
Correct answer C.
Rationale: The accumulation of fluid into the pericardial sac will result in Cardiac tamponade.This often will affect cardiac chambers, reducing stroke volume,cardiac output, and blood pressure. And because the atrium is involved it will lead to neck veins distention but the lungs will remain clear.
(2 )The procedure using needle and catheter to remove fluid from the sac around the heart is known as?.
(A) Pericardial effusion.
(B) Fluid evacuation.
(C ) Fluid drainage.
(D) All of the above.
Correct answer A.
Rationale: Pericardial effusion is the build up of extra fluid around the cardiac space.If too much of fluid is build it will apply pressure to the heart and affect normal pumping of the heart.
(3)What is Pericardium?.
(A) A thin sac that surrounds the heart.
(B) Septum
(C) Anterior heart.
(D)Posterior heart
Correct answer A.
Rationale: Pericardium is the membrane enclosing the heart. It consist of two layers, the outer fibrous layer and inner double layer of serous membrane.
(4)Infectious Endocarditis is caused by bacteria infection to the endocardial surface. The doctor told the patient and family that the main treatment is?.
(A) Intravenous Antibiotics.
(B) Pain management.
(C )The main treatment is surgical intervention.
(D )None of the above.
Correct answer A.
Rationale: The maintain treatment is intravenous antibiotics treatment. Sometimes surgical intervention might be required.
(5)Patient diagnosed with subacute bacterial endocarditis.Patient knows that when going to see the dentist should ?.
(A) Ask the doctor for antibiotics before dental work.
(B ) Ask the doctor for vaccine.
(C) Ask the doctor for pain medication.
(D) Let his doctor check his mouth for infection.
Correct answer A.
Rationale : It is very important for patient to take prophylactic antibiotics before dental work to prevent further infection. B,C,D are all wrong.
Nurses You Move Me 