NCLEX style question....

  1. 0 What do you think?

    The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
    1. Periorbital edema
    2. Dizzy spells
    3. Lethargy
    4. Shortness of breath
  2. Enjoy this?

    Join thousands and get our weekly Nursing Insights newsletter with the hottest discussions, articles, and toons.

  3. Visit  Bonny619 profile page

    About Bonny619

    From 'San Diego'; 36 Years Old; Joined May '06; Posts: 528; Likes: 33.

    6 Comments so far...

  4. Visit  Eirene profile page
    i'm going to go with option 4. my rationale is the abc's-- sob.
  5. Visit  Daytonite profile page
    Quote from bonny619
    the nurse is caring for a client with a myocardial infarction. which finding requires the nurse's immediate action?
    1. periorbital edema
    2. dizzy spells
    3. lethargy
    4. shortness of breath
    while shortness of breath is this obvious answer upon first glance, dizzy spells (#2) might be the correct answer. arrhythmias are a complication of an mi. some arrhythmias lead to poor or no perfusion of blood and oxygen to the brain which are manifested as dizzy spells and syncope. oxygen to the brain trumps oxygen to the lungs. the brain dies minutes faster than heart or lung tissue.
  6. Visit  Bonny619 profile page
    Daytonite is right!

    I was thrown by this one though.
  7. Visit  Kiringat profile page
    Very sneaky!
  8. Visit  Daytonite profile page
    Keep in mind that NCLEX questions also test your knowledge of disease and medical treatment. This is a question of one's knowledge of myocardial infarction, it's signs, symptoms, complications and how that affects nursing care and nursing interventions. Add Maslow's hierarchy of needs (#1 - need for oxygen) and which organ of the body has priority for oxygen and the answer was right there. Critical thinking--gotta love it!
    emtb2rn likes this.
  9. Visit  Eirene profile page
    dang! i learned something today. these posts are so much fun.

    dayton-- you've officially took my title as the 'queen of cool'.

Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.