Medical Surgical Critical Care Cardiac Critical Care #4

Question

A client is admitted to the hospital with the following rhythm. Which of these co-morbidities could be the cause of this rhythm?

Select all that apply.

Answers

  1. Valvular disease.
    • Rationale:

      This answer is correct because the client was admitted with atrial fibrillation (the rhythm above). Causes of atrial fibrillation may include valvular disease, heart failure, chronic obstructive pulmonary disease, and pulmonary hypertension.

  2. Heart failure.
    • Rationale:

      This answer is correct because the client was admitted with atrial fibrillation (the rhythm above). Causes of atrial fibrillation may include valvular disease, heart failure, chronic obstructive pulmonary disease, and pulmonary hypertension.

  3. Chronic obstructive pulmonary disease.
    • Rationale:

      This answer is correct because the client was admitted with atrial fibrillation (the rhythm above). Causes of atrial fibrillation may include valvular disease, heart failure, chronic obstructive pulmonary disease, and pulmonary hypertension.

  4. Pulmonary hypertension.
    • Rationale:

      This answer is correct because the client was admitted with atrial fibrillation (the rhythm above). Causes of atrial fibrillation may include valvular disease, heart failure, chronic obstructive pulmonary disease, and pulmonary hypertension.

  5. Bacterial pneumonia.
    • Rationale:

      This answer is not correct because bacterial pneumonia is not a cause of atrial fibrillation. Complications of bacterial pneumonia may be a trigger for atrial fibrillation, but is not a cause.

Overview

The client was admitted with atrial fibrillation (the rhythm above). Causes of atrial fibrillation may include valvular disease, heart failure, chronic obstructive pulmonary disease, and pulmonary hypertension.

Explanation

Learning Outcomes

Atrial fibrillation is an irregular usually fast heart rhythm. Rates may range from 100-175 beats/minute. Atrial fibrillation occurs when both upper chambers of the heart exhibit chaotic signals. The client becomes a higher risk for stroke because the blood in the heart is not being properly pumped out and may pool and cause a clot. The clot may move to the brain blocking blood flow causing a stroke.

Test Taking Tip

Know the rhythm atrial fibrillation and the causes or comorbidities for it.

Video Rationale