Question

After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without rellef. Her vital signs are heart rate 122 beats/minute, respirations 16 breaths/minute, oxygen saturation 96%, and blood pressure 116/70 mmH. The nurse obtains a 12- lead electrocardiogram (ECG). Which assessment finding is most critical?

a. Irregular pulse rate.
b. ST elevation in three leads.
c. Complaint of radiating jaw pain.
d. Bile colored emesis.

Answer 1

The most critical assessment finding in the patient's presentation is the ST elevation in three leads, indicating a potential acute myocardial infarction requiring immediate medical intervention.

Step-by-step explanation:

Out of the patient's symptoms, the ST elevation in three leads is the most critical assessment finding. ST elevation is a significant indicator of an acute myocardial infarction (MI), which is a medical emergency requiring immediate attention. While other symptoms such as irregular pulse rate, complaint of radiating jaw pain, and bile-colored emesis are concerning, the ST elevation is the most direct sign of potential cardiac damage and implicates an ongoing heart attack. Acute MIs may also present with various other symptoms including difficulty breathing, dizziness, and fainting. However, it is crucial to note that not all symptoms may be present, and the absence of symptoms does not rule out the possibility of an MI.