A nurse is teaching an older patient about the signs and symptoms of a myocardial infarction. Which statement by the patient would indicate that the teaching was effective?
a. "The pain in my chest may last a long time."
b. "I will feel like I have an elephant sitting on the center of my chest."
c. "The chest pain will be sharp and over the center of my chest."
d. "The pain may not be severe and may not be in my chest."
D
Myocardial infarction in older adults is often associated with ST-segment depression rather than ST elevation. Sensation of chest pain may be altered and may be less intense and of shorter duration. Other atypical symptoms may include dyspnea, confusion, and failure to thrive, which results in unrecognized signs and symptoms of cardiac problems and delays in diagnosis and treatment.
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