Medical Surgical Cardiac Tamponade #5

Question

A client being treated for pericarditis begins to have symptoms that indicate potential cardiac tamponade. Which symptoms will the registered nurse report that supports this concern? Select all that apply.

Answers

  1. Bradycardia
    • Rationale:

      This answer is not correct because tachycardia, not bradycardia is associated with cardiac tamponade. The classic clinical manifestations of cardiac tamponade are hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases.

  2. Hypertension
    • Rationale:

      This answer is not correct because hypotension, not hypertension is one of the classic symptoms of cardiac tamponade. The classic clinical manifestations of cardiac tamponade are hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases.

  3. Tachypnea
    • Rationale:

      This answer is correct because tachycardia is a symptom associated with cardiac tamponade. The classic clinical manifestations of cardiac tamponade are hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases.

  4. Restlessness
    • Rationale:

      This answer is correct because restlessness is a symptom associated with cardiac tamponade. The classic clinical manifestations of cardiac tamponade are hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases.

  5. Loss of consciousness
    • Rationale:

      This answer is correct because loss of consciousness is a symptom associated with cardiac tamponade. The classic clinical manifestations of cardiac tamponade are hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases.

Overview

Symptoms of cardiac tamponade include tachypnea, restlessness, loss of consciousness, tachycardia, and hypotension. The registered nurse should recognize and report these symptoms immediately.

Explanation

Learning Outcomes

Cardiac tamponade is a serious medical emergency in which blood or other fluids fill the pericardial space (the sac that surrounds the heart). This extra fluid places increased pressure on the heart to the extent that the ventricles cannot fill and contract. There is then no cardiac output. The classic clinical manifestations of cardiac tamponade are considered hypotension, jugular vein distention (JVD), and muffled heart tones. Other symptoms that occur include tachypnea, tachycardia, restlessness, shortness of breath, weakness, anxiety, chest pain, loss of consciousness as cardiac output decreases. Recognition of these symptoms, quick reporting, and action by the nurse is imperative to keep this client alive.

Test Taking Tip

Knowing the symptoms of cardiac tamponade can help the test taker be able to select the correct answers.

Video Rationale