Description

Question 1: A nurse is caring for a client with acute myocardial infarction (MI). Which assessment finding requires immediate intervention? A) Heart rate of 88 bpm B) Blood pressure of 100/60 mmHg C) New onset of confusion and cool, clammy skin D) Complaint of chest discomfort rated 3/10 Answer: C Rationale: New onset confusion with cool, clammy skin indicates cardiogenic shock, a life-threatening complication requiring immediate intervention. These signs suggest inadequate tissue perfusion.