Page 174 - Critical Care Nursing Demystified
P. 174
Chapter 3 CARE OF THE PATIENT WITH CRITICAL CARDIAC AND VASCULAR NEEDS 159
10. A patient is admitted to your acute coronary care unit with the diagnosis of ACS.
The nurse has seen ECG changes that are indicative of an anterior wall infarction
and is observing the patient for signs/symptoms of complications. The nurse
has noted the following vital sign trends:
Time HR RR BP Cardiac Rhythm
1100 92 24 140/88 NSR
1115 96 26 128/82 NSR
1130 104 28 102/68 ST
1145 120 32 80/52 ST with frequent PVCs
The nurse should be alert for which of the following complications? Choose all
that apply.
A. Syncope
B. Pericarditis
C. Cardiogenic shock
D. Cardiac tamponade
E. Ventricular aneurysm
F. Acute respiratory failure Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
