Cardiac Question #9


The nurse is caring for a client who has been placed on long-term anticoagulation for management of intracardiac thrombi found on the echocardiogram. The nurse includes which health history reason for increased risk of intracardiac thrombi?


  1. Atrial fibrillation
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  2. Pericarditis
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  3. Pleural effusion
    • Rationale:
  4. Recent surgery
    • Rationale:



Atrial fibrillation is correlated with intracardiac thrombus. Also, clients with cerebral ischemia are also at risk for intracardiac thrombus. Episodes of atrial fibrillation cause blood flow turbulence and slower flow within the atria along with “Virchow’s triad” where blood coagulation, vessel wall factors, and reduced blood flow contribute to procoagulant states. Pericarditis, pleural effusion, and recent surgery are not priority reasons for intracardiac thrombi formation.

Learning Outcomes

Test Taking Tip

Video Rationale