A patient three days after an acute myocardial infarction suddenly becomes hypotensive, confused and cool, with a weak rapid pulse. Which finding should the nurse report as the priority?
Correct answer: A. Blood pressure of 86/ fifty-four mmHg
- A. Blood pressure of 86/ fifty-four mmHg
- B. Mild fatigue after bathing
- C. Heart rate of 78 beats per minute
- D. Warm hands after a blanket is applied
Explanation
A blood pressure of 86/54 mmHg with confusion, cool skin and a weak pulse suggests inadequate tissue perfusion and possible cardiogenic shock. Circulation is the immediate priority, so the nurse should activate urgent review while supporting airway and breathing.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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