A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)
Distribution
Onset
Intensity
Location
Radiation
Alleviated
Correct Answer : A,B,C,D,E,F
Rationale:
A. Distribution refers to the area of the body where the pain is felt.
B. Onset refers to when the pain started.
C. Intensity refers to the severity of the pain.
D. Location refers to where the pain is felt.
E. Radiation refers to whether the pain spreads to other areas.
F. Alleviated refers to what makes the pain better or worse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.
B. Missing doses of medication can increase the risk of complications in atrial fibrillation.
C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.
D. Hypertension is a risk factor for atrial fibrillation.
Correct Answer is ["A","B","C","E","F"]
Explanation
Rationale:
A. Unable to lie flat due to orthopnea is a sign of worsening heart failure.
B. Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.
C. Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.
D. Increased appetite is not typically associated with worsening heart failure.
E. Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.
F. Worsening lower extremity edema is a sign of worsening heart failure.
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