Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What symptom is NOT included in the additional symptoms of pericardial tamponade?

1. Peripheral edema

2. Dyspnea

3. Hypotension

4. Fever

The correct answer is: Fever

The identification of fever as a symptom that is not included in the additional symptoms of pericardial tamponade highlights the understanding of this specific condition and its clinical presentation. Pericardial tamponade occurs when fluid accumulates in the pericardial space, exerting pressure on the heart and impairing its ability to fill properly. The hallmark symptoms typically include: - Dyspnea, which arises due to decreased cardiac output and systemic venous congestion; - Hypotension, a result of impaired heart function leading to decreased perfusion; and - Peripheral edema, which may occur as a consequence of fluid overload and poor venous return. Fever, while it can be present in many types of infections and inflammatory processes, is not a direct result of the mechanical effects of fluid accumulation in pericardial tamponade. In this scenario, symptoms like hypotension, dyspnea, and peripheral edema are more closely associated with the physiological disturbances brought about by the condition, rather than indicative of an infectious or inflammatory process where fever would be a more common symptom. This distinction is crucial for accurately assessing and diagnosing pericardial tamponade in a clinical setting.