A client is admitted to the hospital for shortness of breath and chest pain after an episode of syncope. Which laboratory finding is most important for the nurse to report to the healthcare provider (HCP)?

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?

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.

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.

Which 2 statements from the client should the nurse recognize as a need for further education?

A client is admitted to the hospital for shortness of breath and chest pain after an episode of syncope. Which laboratory finding is most important for the nurse to report to the healthcare provider (HCP)?

The client's electrocardiogram (ECG) strip reveals sinus tachycardia. Select the 4 characteristics that the nurse is likely to see in the ECG.

An adult male is admitted with dyspnea on exertion, persistent cough, and palpitations. His telemetry reveals atrial fibrillation. Which additional assessment finding warrants the most immediate intervention by the nurse?

A client is admitted with a confirmed pulmonary embolism (PE). Six hours after heparin IV infusion is initiated, the client's partial thromboplastin time (PTT) is 152 seconds, so the infusion is discontinued. Which intervention is most important for the nurse to implement?

Reference Range:

• Partial Prothrombin Time (PTT) [27 to 41 seconds]

Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?

A client is admitted with chest pain and is rubbing the left arm. The nurse initiates oxygen at 4 L/minute, and administers a dose of aspirin PO, nitroglycerin sublingually, and morphine sulfate IV. Which additional assessment should the nurse consider for a myocardial infarction (MI)?

Click to highlight the findings that require follow up.

Neurological: Alert and oriented person, place, time, and situation Agitated. Denies headaches.

Cardiovascular: Reported chest pain described as pressure and tightness that is unrelieved with rest. Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary refill 2 seconds.

Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilateral lungs.

Gastrointestinal: Within normal limits (WNL).

Genitourinary: WNL.

Musculoskeletal M/MIL

Pain: Reported 7 on a 0 to 10 scale, tightness and pressure in chest. Started approximately 2 hours ago and got progressively worse, unrelieved by rest.