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Anatomy & Physiology I/II · practice question

A 73-year-old client on a telemetry unit is being evaluated for nursing care related to cardiac conduction and perfusion. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Which finding requires the nurse to intervene immediately?

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Answer and explanation

Correct answer

A. The new finding that pain increases from 3/10 to 8/10 over 30 minutes.

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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