Practice Quiz

CNOR Operating Room Nursing

Category - Intraoperative

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What types of signs and symptoms might the nurse see if a patient suddenly develops cardiac tamponade?
  1. A loud systolic murmur and chest pain
  2. Dyspnea and postural hypotension
  3. Blue appearance in the neck and pulsus paradoxus
  4. Clammy skin and distended neck veins
Explanation
Answer: C-A patient who develops cardiac tamponade will most likely develop a blue appearance in the neck and pulsus paradoxus. When tamponade occurs, blood collects in the sac around the heart, restricting the heart’s ability to beat. This results in the bluish tint of the neck skin. Pulsus paradoxus occurs when the blood pressure drops as the patient breathes in and then returns upon expiration.
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