Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Radiating pain to the left arm.

Shortness of breath.

Headache.

Nausea and vomiting.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

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Correct Answer is A

Explanation

Choice A rationale

The inability to locate a dorsalis pedis pulse and increasing pain indicate compromised circulation, which requires immediate attention to prevent complications.

Choice B rationale

Pain relieved after administering medication indicates effective pain management, which is not an urgent issue to report immediately.

Choice C rationale

Generalized weakness and increasing sensitivity to touch can be concerning but are not as urgent as signs of compromised circulation.

Choice D rationale

Localized edema and discoloration are expected findings in a fracture and are not as urgent as an absent pulse. .

A. I should take nitroglycerin if I experience chest pain. B. If my chest pain does not improve after taking nitroglycerin, I should call 911. C. I should keep my nitroglycerin tablets in a dark, cool place. D. I can take up to three doses of nitroglycerin five minutes apart if the pain persists.

Correct Answer is D

Explanation

Choice A rationale

Taking nitroglycerin when experiencing chest pain is correct as it helps to relieve the pain by dilating blood vessels and increasing blood flow to the heart.

Choice B rationale

Calling 911 if chest pain does not improve after taking nitroglycerin is correct and necessary to seek immediate medical assistance.

Choice C rationale

Storing nitroglycerin tablets in a dark, cool place is correct to maintain their potency, as light and heat can degrade the medication.

Choice D rationale

Taking up to three doses of nitroglycerin five minutes apart is correct; however, if the pain persists after one dose, the patient should call 911 immediately rather than waiting for all three doses to be taken.

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Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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