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NCLEX-RN · Question #479

NCLEX-RN Question #479: Real Exam Question with Answer & Explanation

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Question

A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain. She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client's nursing assessment demand immediate nursing action?

Options

  • AAssociated symptoms of indigestion and nausea
  • BRestlessness and apprehensiveness
  • CInability to tolerate assessment session with the admitting nurse
  • DHistory of hypertension treated with pharmacological therapy

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