A nurse on a telemetry unit is caring for four clients. Which of the following clients is experiencing potential manifestations of a myocardial infarction?
A client who has intrascapular pain and indigestion
A client who has pain and swelling in one lower limb
A client who has elevated serum creatinine
A client who has crackles in the lungs and an elevate
The Correct Answer is A
A. Intrascapular pain and indigestion can be atypical presentations of myocardial infarction, particularly in women.
B. Pain and swelling in one lower limb suggest deep vein thrombosis (DVT), not myocardial infarction.
C. Elevated serum creatinine indicates kidney dysfunction but is not a direct manifestation of myocardial infarction.
D. Crackles in the lungs and elevated temperature suggest possible infection or heart failure exacerbation, but not specifically myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Jugular vein distention (JVD) is more commonly associated with right-sided heart failure, not left-sided heart failure.
B. Peripheral edema is also more commonly associated with right-sided heart failure.
C. Ascites or fluid accumulation in the abdomen is typically associated with right-sided heart failure.
D. Pink, frothy sputum is indicative of pulmonary edema, which is a common symptom of left-sided heart failure due to the backup of blood into the lungs.
Correct Answer is C
Explanation
A. Atrial fibrillation is characterized by an irregularly irregular rhythm and absence of distinct P-waves.
B. Atrial flutter typically presents with "saw-tooth" flutter waves rather than extra P-waves.
C. Premature atrial contractions (PACs) are identified by the presence of extra P-waves on an ECG.
D. Stable angina is related to chest pain and does not have specific ECG findings such as extra P-waves.
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