Adult health / medical-surgical nursing · practice question
A 73-year-old client on a telemetry unit is being evaluated for acute stroke symptoms. Assessment data include the client reports sudden sharp chest pain and respirations 32/min after surgery. Which finding requires the nurse to intervene immediately?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
B. The new finding that reports sudden sharp chest pain and respirations 32/min after surgery.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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