The nurse is reviewing the client's medical record.
The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved?
Select all that apply.
Pain level
Respiratory rate
Heart rate
Oxygenation saturation
Blood pressure
Echocardiogram results
Urinary output
Correct Answer : A,B,C,D,E
A) The client's pain level decreased from 7 to 5 after receiving nitroglycerin. This decrease indicates improvement in the client's condition.
B) The client’s respiratory rate decreased from 24/min to 22/min.
C) The client’s heart rate decreased from 120/min to 100/min.
D) Initially, the client's oxygen saturation was 93% on room air, which decreased to 89%. However, after receiving oxygen at 2 L/min via nasal cannula it improved to 92%.
E) The blood pressure decreased from 176/82 to 110/62.
F) Only one echocardiogram result showing myocardial infarction was provided.
G) Only one reading of I&O was provided showing an output of 32 mL, hence difficult to determine whether there was an improvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
The symptoms of chest tightness radiating to the left arm, along with nausea, diaphoresis (sweating), shortness of breath, and an irregular, tachycardic (fast) heart rate are classic signs of a myocardial infarction. The faint pulses in myocardial infarction, can be caused by a reduced blood flow to the heart muscle due to a blockage of a coronary artery. The reduced blood flow result in a cool skin.
Correct Answer is C
Explanation
A) Increasing the ventilator flow rate may not address the cause of the low-pressure alarm and could potentially worsen the situation.
B) Emptying water from the ventilator tubing is not typically necessary when the low-pressure alarm sounds.
C) Evaluating the client for a cuff leak is essential because a leak in the endotracheal tube cuff can cause the low-pressure alarm to sound.
D) Suctioning the client's airway is not indicated unless there are signs of airway obstruction or secretions.
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