The nurse is assessing a client with acute coronary syndrome (ACS). The nurse includes a careful history in the assessment, especially regarding the signs and symptoms. What signs and symptoms are suggestive of an ACS?
Dyspnea, unusual fatigue, diaphoresis
Peripheral cyanosis, hypertension, diaphoresis
Hypotension, palpitations, cyanosis
Peripheral cyanosis, hypertension, dyspnea
The Correct Answer is A
A. Dyspnea, unusual fatigue, and diaphoresis are classic early signs and symptoms of ACS and may indicate myocardial ischemia or infarction.
B. Peripheral cyanosis and hypertension are not typical presenting symptoms of ACS and may indicate other cardiovascular issues.
C. Hypotension and cyanosis can occur in severe ACS but are not the most common initial signs.
D. Peripheral cyanosis and hypertension are less specific for ACS; dyspnea alone is insufficient without other classic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Congestive heart failure can develop after MI but is more likely to occur later, depending on the extent of myocardial damage.
B. Papillary muscle rupture is a rare mechanical complication that usually occurs 2–7 days post-MI.
C. Dysrhythmias are the most common and immediate life-threatening complication in the first 24 hours post-MI, requiring continuous monitoring.
D. Pericarditis may develop after MI but typically occurs several days later, not within the first 24 hours.
Correct Answer is C
Explanation
A. Atrophy of the ventricles does not occur in DCM; the ventricles are weakened and dilated, not atrophied.
B. Dilation of the atria with ventricular hypertrophy is more characteristic of restrictive or hypertrophic cardiomyopathy, not DCM.
C. Dilated cardiomyopathy primarily involves dilation of the ventricles with thinning of the ventricular walls and impaired systolic function, without compensatory hypertrophy.
D. Dilation and hypertrophy of all four chambers is more characteristic of advanced or biventricular cardiomyopathy but is not the classic finding in typical DCM.
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