This topic contains a solution. Click here to go to the answer

Author Question: A client had an acute myocardial infarction. What assessment finding indicates to the nurse that a ... (Read 79 times)

jrubin

  • Hero Member
  • *****
  • Posts: 552
A client had an acute myocardial infarction. What assessment finding indicates to the nurse that a significant complication has occurred?
 
  a. Blood pressure that is 20 mm Hg below baseline
  b. Oxygen saturation of 94 on room air
  c. Poor peripheral pulses and cool skin
  d. Urine output of 1.2 mL/kg/hr for 4 hours

Question 2

A client is on a dopamine infusion via a peripheral line. What action by the nurse takes priority for safety?
 
  a. Assess the IV site hourly.
  b. Monitor the pedal pulses.
  c. Monitor the client's vital signs.
  d. Obtain consent for a central line.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pratush dev

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

ANS: C
Poor peripheral pulses and cool skin may be signs of impending cardiogenic shock and should be reported immediately. A blood pressure drop of 20 mm Hg is not worrisome. An oxygen saturation of 94 is just slightly below normal. A urine output of 1.2 mL/kg/hr for 4 hours is normal.

Answer to Question 2

ANS: A
Dopamine should be infused through a central line to prevent extravasation and necrosis of tissue. If it needs to be run peripherally, the nurse assesses the site hourly for problems. When the client is getting the central line, ensuring informed consent is on the chart is a priority. But at this point, the client has only a peripheral line, so caution must be taken to preserve the integrity of the client's integumentary system. Monitoring pedal pulses and vital signs give indications as to how well the drug is working.




jrubin

  • Member
  • Posts: 552
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


adammoses97

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Excellent

 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

For a complete list of videos, visit our video library