« previous next »

Author Question: The client is admitted to the coronary care unit with a myocardial infarction. Prior to discharge, ... (Read 71 times)

123654777

  • Hero Member
  • *****
  • Posts: 585
on: Jun 25, 2018
The client is admitted to the coronary care unit with a myocardial infarction. Prior to discharge, which client statement indicates that adequate learning has occurred?
 
  1. I'm just sick to my stomach because I ate something that didn't agree with me.
  2. I think I must have given myself a little too much insulin this morning.
  3. I've been breathing fast and my heart's been racing because my heart's not working right.
  4. Just give me something for the nausea and I can go home.

Question 2

The emergency department (ED) nurse determines that the client may be having a myocardial infarction. Which assessment findings support the nurse's conclusion? Select all that apply.
 
  1. Blood pressure has dropped from normal and is 90/52.
  2. Apical heart rate is 114 beats per minute.
  3. Skin is flushed and warm.
  4. Respiratory rate is 28 per minute.
  5. The client is complaining of a headache.


bigcheese9

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 3
The client is correct when he states that his heart is not working well and his respiratory rate and heart rate are up because of it. The client does not understand the importance of the symptoms that he is experiencing. The client believes that the nausea is unrelated to an acute cardiovascular event such as a myocardial infarction. The client believes that his symptoms are related to hypoglycemia and will require education about the seriousness of his heart condition. The client will be unable to go home until after he is stabilized and medically fit to return home.

Answer to Question 2

Correct Answer: 1, 2, 4
This client is hypotensive and this suggests that an acute cardiovascular problem may be occurring. The client is tachycardic and this is indicative of an acute cardiovascular problem. This client is tachypneic and this is associated with an acute cardiovascular problem. Warm, flushed skin is not necessarily associated with an acute cardiovascular problem. Cyanosis, blue or gray-tinged skin, and pallor are associated with an acute cardiovascular problem. A headache is not necessarily a symptom of an acute cardiovascular problem.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

A structural gene as a transcriptional unit A structural gene as a transcriptional unit
Patients should be encouraged to bring to their health care visit all the substances that they take, Patients should be encouraged to bring to their health care visit all the substances that they take,
Atherosclerosis in the coronary arteries Atherosclerosis in the coronary arteries
A Chrysler electronic ignition distributor. This unit is equipped with a vacuum advance mechanism ... A Chrysler electronic ignition distributor. This unit is equipped with a vacuum advance mechanism ...
Building a Client Base Building a Client Base
Client’s view with visual field loss Client’s view with visual field loss
Video: Chromosome structural organization/ Mechanisms for chromosome movement Animation

For a complete list of videos, visit our video library