The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.
Sweating
Fatigue
Shortness of breath
Dizziness
Nausea
Pain between shoulder blades
Correct Answer : A,B,C,D,E,F
Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.
Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.
Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.
Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.
Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.
Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
Correct Answer is C
Explanation
Choice A reason: While disintegration indicates a pill is no longer stable, it is not specific to nitroglycerin tablets.
Choice B reason: The absence of a tingling sensation may not necessarily indicate that nitroglycerin tablets need to be replaced, as this sensation can vary.
Choice C reason: Nitroglycerin tablets should be replaced if they smell like vinegar, as this indicates that the medication may have degraded and may not be effective.
Choice D reason: Discoloration can occur due to various reasons and does not specifically indicate that nitroglycerin tablets have lost potency.
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