When managing a client with atrial fibrillation, which potential complication should the nurse specifically monitor for?

In the context of managing a client with atrial fibrillation, monitoring for a cerebrovascular accident (CVA), also known as a stroke, is particularly important. Atrial fibrillation can lead to the formation of blood clots in the atria, especially in the left atrial appendage. These clots can dislodge and travel to the brain, resulting in a stroke. Therefore, one of the most significant risks associated with atrial fibrillation is the potential for a cerebrovascular accident due to these emboli.

In patients with atrial fibrillation, the irregular heartbeat can lead to stasis of blood flow in the atria, which is conducive to thrombus formation. This situation necessitates close monitoring for signs of stroke, such as sudden changes in speech, coordination, weakness, or other neurological deficits.

While other complications, like heart block and pulmonary embolism, can occur, they are not as commonly associated with atrial fibrillation as the risk of stroke. Ventricular fibrillation is a severe and immediate cardiac concern, but it is typically a result of other underlying issues rather than a direct complication of atrial fibrillation. Therefore, the focus in managing a client with atrial fibrillation centers around preventing thromboemb