Practice Test 9

A 64-year-old client is recovering from a myocardial infarction and is beginning outpatient management; history includes chronic hyperlipidemia. Today the client reports sudden dizziness and faintness after taking prescribed nitroglycerin for chest discomfort. Assessment: heart rate 98/min, blood pressure 78/44 mm Hg, respiratory rate 18/min, oxygen saturation 97% on room air; skin pale. Which data indicates an acute change that requires IMMEDIATE action?

A 61-year-old client is transitioning to outpatient care after a myocardial infarction; history includes chronic hypertension. During discharge teaching, the client reports new severe shortness of breath and cough producing pink, frothy sputum. Assessment: heart rate 120/min, respiratory rate 34/min, blood pressure 168/94 mm Hg, oxygen saturation 86% on room air; lung sounds: crackles throughout. Which data indicates an acute change that requires IMMEDIATE action?