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.
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