An older patient with a history of anginal syndrome and congestive heart failure is admitted to the Cardiac Care Unit with a myocardial infarction. Which assessment finding should the nurse report to the health care provider?
A) Early morning fatigue
B) Increase in respiratory rate
C) Dyspnea when getting out of bed to sit in a chair
D) Decrease in blood pressure and increase in temperature
D
Feedback:
Vital signs must be checked regularly. A temperature elevation can reflect an infection or another myocardial infarction. A drop in blood pressure can cause insufficient circulation. Early morning fatigue is to be expected after experiencing a myocardial infarction. An increased respiratory rate would not be reportable unless the patient has a drop in oxygen saturation. Dyspnea with position change would be expected immediately after experiencing a myocardial infarction.
You might also like to view...
Muscles of exhalation include which of the following? (Select all that apply.)
a. Abdominal b. Diaphragm c. External intercostals d. Internal intercostals e. Scalene
The school health nurse is presenting a health promotion class to a group of middle-school students. Which is the best intervention to address health promotion strategies related to the leading cause of cancer deaths in North America?
A) Monthly self-breast exams B) Smoking cessation C) Annual colonoscopies D) Monthly testicular exams
When assessing for cyanotic changes, central cyanosis may be distinguished from peripheral cyanosis. Central cyanosis is best assessed:
A) On the ear lobes. B) In the nailbeds. C) In the mucous membranes. D) On the fingers.
The nurse in the hospital is obtaining ordered vital signs on the client who has been diagnosed with pneumonia. The client is on a monitor, and vital signs are recorded from the monitor in order to leave the client undisturbed during the night
The nurse observes that blood pressure, heart rate, and respirations are below baseline for this client. The nurse concludes which of the following about the client? 1. The client is about to have a cardiac arrest. 2. The client is in stage II of NREM sleep. 3. The client's metabolic rate has increased. 4. The client is in stage IV of NREM sleep.