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Cardiac Tamponade Is Suspected in a Patient Who Has Acute

Question 4

Multiple Choice

Cardiac tamponade is suspected in a patient who has acute pericarditis. To assess for the presence of pulsus paradoxus, the nurse should


A) subtract the diastolic blood pressure (DBP) from the systolic blood pressure (SBP) .
B) auscultate for a pericardial friction rub that increases in volume during inspiration.
C) note when Korotkoff sounds are audible during both inspiration and expiration.
D) check the ECG for variations in rate in relation to inspiration and expiration.

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