A patient is recovering from a myocardial infarction (MI). Which of the following complications should the nurse be most concerned about if the patient reports new-onset shortness of breath and irregular heartbeats?

Peripheral Artery Disease (PAD)

Gastroesophageal Reflux Disease (GERD)

Hypertension

Heart Failure

Answer and Explanation

The Correct Answer is D

A. Peripheral Artery Disease (PAD). PAD is a chronic condition related to reduced blood flow in peripheral arteries. It is not directly associated with MI complications.

B. Gastroesophageal Reflux Disease (GERD). GERD involves acid reflux and is not related to post-MI complications.

C. Hypertension. While hypertension is a risk factor for MI, it does not directly explain the symptoms of shortness of breath and irregular heartbeats following an MI.

D. Heart Failure. Heart failure is a common post-MI complication, especially if a significant portion of heart muscle is damaged. Symptoms of shortness of breath and irregular heartbeats could indicate left-sided heart failure, where fluid backs up into the lungs, or right-sided failure, which can lead to systemic congestion.

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Correct Answer is D

Explanation

A. Elevated blood pressure. Blood pressure typically drops in hypovolemic shock as blood volume decreases.

B. Warm, flushed skin. As hypovolemic shock progresses, skin becomes cool and clammy due to decreased blood flow and compensatory vasoconstriction.

C. Increased urine output. Hypovolemic shock leads to decreased urine output due to reduced renal perfusion.

D. Increased heart rate. An increased heart rate is an early compensatory response in hypovolemic shock as the body attempts to maintain cardiac output.

A. Irritable bowel syndrome B. Chronic diverticulosis C. Complicated diverticulitis with abscess D. Uncomplicated diverticulitis

Correct Answer is D

Explanation

A. Irritable bowel syndrome. IBS management typically involves dietary changes, fiber, and stress management, not antibiotics or clear liquids.

B. Chronic diverticulosis. Diverticulosis, when asymptomatic, does not require antibiotics. Treatment focuses on a high-fiber diet to prevent diverticulitis.

C. Complicated diverticulitis with abscess. Complicated diverticulitis may require IV antibiotics, hospitalization, or even surgical intervention if there are abscesses.

D. Uncomplicated diverticulitis. Uncomplicated diverticulitis, without abscess or perforation, is treated with oral antibiotics and a clear liquid diet for bowel rest.

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A patient is recovering from a myocardial infarction (MI). Which of the following complications should the nurse be most concerned about if the patient reports new-onset shortness of breath and irregular heartbeats?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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