NCLEX RN Practice Question # 665

NCLEX Examination.

Practice Question # 665.


Cardiac Tamponade


  • A pericardial effusion occurs when the space between the parietal and visceral layers of the pericardium fills with fluid.
  • Pericardial effusion places the client at risk for cardiac tamponade, an accumulation of fluid in the pericardial cavity.
  • Tamponade restricts ventricular filling, and cardiac output drops.


  • Pulsus paradoxus
  • Increased CVP
  • Jugular venous distention with clear lungs
  • Distant, muffled heart sounds
  • Decreased cardiac output
  • Narrowing pulse pressure

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