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. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.
B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.
C. The client has not voided since returning to recovery is not related to the cardiac catheterization.
D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.
Correct Answer is ["A","B","C","D","E","F"]
Explanation
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.
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