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    Ati lpn med surg cardiac proctored test

    A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

    Explanation & Rationale

    A. Bradycardia: PVCs are premature ventricular beats and typically produce an irregular rhythm; they do not characteristically cause sustained bradycardia. B. S3 heart sounds: S3 suggests volume overload/ventricular dysfunction (heart failure), not a direct expected finding from isolated PVCs. C. Irregular pulsations: PVCs produce premature beats that disrupt the regular rhythm and peripheral pulse, causing irregular pulsations and possibly a palpitatory sensation. D. Increase in point of maximum impulse (PMI): A displaced or increased PMI indicates cardiomegaly or hypertrophy, not an acute sign of PVCs.

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