When Caring for a Patient with ACS Who Has Returned

question 20

Multiple Choice

When caring for a patient with ACS who has returned to the coronary care unit after having a PCI, the nurse obtains these assessment data. Which data indicate the need for immediate intervention by the nurse?

• A) Heart rate 100 beats/min
• B) Chest pain level 8 on a 10-point scale
• C) Blood pressure (BP) 104/56 mm Hg
• D) Pedal pulses 2+

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Definitions:

DSM-IV

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, a comprehensive classification of officially recognized psychiatric disorders, published by the American Psychiatric Association.

Mental Disorder

a broad category of conditions that affect mood, thinking, and behavior, significantly impacting daily living, relationships, and physical health.

Genetically Inherited

Traits or characteristics passed down from parents to offspring through genes.

Diathesis

A predisposition or vulnerability to developing a psychological disorder based on genetic or environmental factors.