A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?
Intermittent claudication with pallor
Jugular vein distention and dependent edema
Mid-epigastric pain and heartburn
Diaphoresis and cool clammy skin
The Correct Answer is D
A. Intermittent claudication with pallor is typically associated with peripheral artery disease (PAD) rather than myocardial infarction.
B. Jugular vein distention and dependent edema are signs of right-sided heart failure, which may develop after an MI but are not classic acute MI symptoms.
C. Mid-epigastric pain and heartburn can sometimes be confused with MI symptoms, but heartburn alone is not diagnostic of an MI.
D. Diaphoresis and cool clammy skin are correct. These symptoms occur due to sympathetic nervous system activation in response to cardiac ischemia, leading to vasoconstriction, sweating, and signs of impending shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Intermittent claudication with pallor is typically associated with peripheral artery disease (PAD) rather than myocardial infarction.
B. Jugular vein distention and dependent edema are signs of right-sided heart failure, which may develop after an MI but are not classic acute MI symptoms.
C. Mid-epigastric pain and heartburn can sometimes be confused with MI symptoms, but heartburn alone is not diagnostic of an MI.
D. Diaphoresis and cool clammy skin are correct. These symptoms occur due to sympathetic nervous system activation in response to cardiac ischemia, leading to vasoconstriction, sweating, and signs of impending shock.
Correct Answer is C
Explanation
A. Morphine may be given to relieve pain and anxiety but is not the first priority. Oxygenation must be addressed first.
B. Initiating cardiac monitoring is important but does not take priority over oxygen therapy. Hypoxia from a PE can cause life-threatening complications.
C. Administering oxygen therapy is correct. A PE impairs oxygenation, leading to hypoxia. Immediate oxygen administration helps improve oxygen delivery to vital organs.
D. Starting an IV infusion is necessary to maintain hemodynamic stability but is not the priority over oxygenation.
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