A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)
Orthopnea
Diaphoresis
Nausea
Headache
Tachycardia
Correct Answer : B,C,E
A. Orthopnea is difficulty breathing while lying flat, and it is typically associated with heart failure or pulmonary conditions, not an acute MI.
B. Diaphoresis (excessive sweating) is a common symptom of an acute MI due to the body's stress response to the myocardial injury.
C. Nausea can occur during an acute MI, particularly in women, as a result of the stress response or ischemia affecting the gastrointestinal system.
D. Headache is not a typical symptom of an acute MI. While it can occur due to stress or other factors, it is not a hallmark of myocardial infarction.
E. Tachycardia (increased heart rate) is a common response to an acute MI as the body attempts to compensate for reduced cardiac output and oxygenation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. After a flexible bronchoscopy, the gag reflex may be temporarily impaired due to local anesthesia. It is important to withhold food and liquids until the gag reflex returns to prevent aspiration. This is the priority action to ensure the client's safety.
B. Suctioning the oropharynx is not routinely necessary unless the client is experiencing difficulty clearing secretions or has signs of aspiration. The main concern after bronchoscopy is ensuring the gag reflex returns before allowing the client to eat or drink.
C. Irrigating the throat is not typically indicated following a bronchoscopy. It may irritate the mucosa or cause further discomfort.
D. While it may be beneficial for the client to rest their voice to prevent strain, there is no requirement for the client to refrain from talking for 24 hours unless advised by the healthcare provider.
Correct Answer is C
Explanation
A. While bile and pancreatic enzymes play a role in digestion, dumping syndrome is not related to an increase in their secretion.
B. Dumping syndrome is not caused by an inability to digest high-fat foods, but rather by the rapid passage of undigested food into the small intestine, which can cause symptoms like nausea, dizziness, and diarrhea.
C. Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.
D. Dumping syndrome is not related to insulin secretion; it is more about the rapid emptying of food into the small intestine.
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