A 57-year-old male client is brought to the emergency department (ED) by emergency medical services (EMS) with reports of chest pain. Client was mowing his lawn and noticed chest pain presenting as tightness and pressure. The pain continued to increase over about 30 minutes when the client decided to rest. The client's wife called emergency medical services (EMS) when the pain was unrelieved after 20 minutes of rest. Client reports no other incidents of experiencing this pain. His medical history includes hypertension, obesity, and a 20 year history of smoking, having quit about 5 years ago. Takes metoprolol succinate ER 25 mg PO.

Exhibits

For each assessment finding, click to specify if the finding is consistent with angina or myocardial infarction, or both. Each column must have at least one response option selected.

Following cardiopulmonary resuscitation (CPR) and multiple defibrillations, the client's blood is drawn for STAT analysis. The client's heart rate is 130 beats/minute with ST elevation. Which of the client's serum laboratory values is most important for the nurse to monitor?

The nurse administers a sublingual nitroglycerin tablet to a client with unstable angina. Which finding is most important for the nurse to report to the healthcare provider (HCP)?

The nurse reviews chart data.

Complete the diagram by dragging from the choices area which potential condition the client is experiencing, two actions to take, and two parameters the nurse would monitor.

The nurse is caring for an older adult client with heart failure (HF) whose arterial blood gas (ABG) results include a pH 7.38, PaCO2 40 mm Hg, HCO3- 24 mEq/L (24 mmol/L), and a PaO2 90 mm Hg. Which action should the nurse implement?

Reference Range:

• Arterial Blood Gas (ABG)
• pH [7.35 to 7.45]
• PaCO2 [35 to 45 mm Hg]
• HCO3- [21 to 28 mEq/L (21 to 28 mmol/L)]
• PaO2 [80 to 100 mm Hg]

Drag and drop word choices to complete the sentence.

If healthcare providers (HCPs) see a narrowed heart vessel while performing a percutaneous coronary intervention (PCI), they may perform a balloon angioplasty to compress the plaque against the vessel wall and hold it there with a stent, which will lessen 

After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without relief. Her vital signs are heart rate 122 beats/minute, respirations 16 breaths/minute, blood pressure 116/70 mm Hg, and oxygen saturation 96%. The nurse obtains a 12-lead electrocardiogram (ECG). Which assessment finding is most critical?

When entering the room to administer scheduled daily medications, the nurse observes the client leaning forward and using pursed-lip breathing. Which action is most important for the nurse to take?

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

The nurse at a primary healthcare provider's (HCPs) office is assessing a middle aged client who describes having symptoms of angina pectoris that occured while doing yard work. Which additional finding should the nurse obtain?

An older adult male client is admitted after three reported syncopal episodes at home. He has several bruises at various stages of healing noted over his arms and legs. The cardiac monitor shows atrial fibrillation (A-fib) with a ventricular response of 140 beats/minute. In addition to contacting the client's healthcare provider (HCP), which intervention should the nurse implement?