The nurse assesses a 53-year-old client whose partner brought the client to the ED with report of acute onset dyspnea, and severe jaw pain that started about an hour ago. The client’s medical history includes DM type 2, obesity, hypertension, hypercholesteremia, and asthma. The client’s admission vital signs include: • Temperature = 37.1°C • HR = 78 BPM and irregular • RR = 26 bpm and slightly labored • BP = 158/90 mm Hg • SpO2 = 95% (on RA) The nurse reviews the client’s assessment data. Select 4 client findings that are relevant and of immediate concern to the nurse. 

A 36-year old patient with a history of Coronary Artery Disease (CAD), uncontrolled Diabetes Mellitus Type II (DM2), Hypertension (HTN), and Obesity has just been diagnosed with a myocardial infarction. The nurse understands that the most common complication associated with a myocardial infarction during the acute phase is which of the following. 

A patient has been admitted for new onset chest paint. They are pale, anxious, and diaphoretic. Vital signs are measured and result in a sustained heart rate of 136 beats per minute. The nurse understands that tachycardia occurring in response of the sympathetic nervous system to the pain of ischemia is detrimental because it increases oxygen demand and

Choose the true statements about myocardial infarctions: (Select all that apply.)

A patient with a non–ST-segment-elevation myocardial infarction is receiving heparin. When considering the mechanism of action for heparin, what is the goal of heparin therapy for the NSTEMI patient?

A patient who has chronic heart failure tells the nurse, “I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!” The nurse will document this assessment finding as

A patient is brought into the emergency room experiencing chest pain. Vital signs are recorded as BP- 144/68, HR 111, O2- 98% on 1L, and T- 38.0C. A 12-lead electrocardiographic (ECG) has been completed and the results have been shared with you. Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a patient with chest pain?

An appropriate initial intervention for this rhythm is 

Two weeks ago, a 68-year-old patient with a history of acute coronary syndrome received a new prescription for metoprolol.  The patient is being readmitted today to acute care and you have just completed your shift assessment.  Which of the following findings concerns you the most?

Which statements accurately describe heart failure (HF) (Select all that apply)?