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    Ati vati adult med surgical proctored exam
    Select All That Apply

    The nurse is continuing to care for the client following updates to the Nurses' Notes and Vital Signs. Exhibits Select the 5 findings that indicate the client’s condition has improved.

    Explanation & Rationale

    Rationale: Peripheral pulse: Strong and symmetric peripheral pulses in this client indicate that circulation through the femoral artery (the common catheter insertion site for PCI) is intact. This suggests no vascular complications like thrombus or hematoma, which are post-PCI risks. Pain level: The client initially reported chest pain rated 8/10 with radiation to the left arm and dyspnea. A decreased pain level after PCI reflects reduced myocardial oxygen demand and ischemia, indicating that the intervention was successful. Blood pressure: The client presented with elevated blood pressure (158/92 mm Hg), likely due to cardiac stress and pain. A return to a more stable range post-intervention indicates reduced sympathetic activation and improved hemodynamic status. Heart rate: The client had a heart rate of 116/min earlier, likely secondary to chest pain and cardiac stress. A drop toward normal levels post-PCI reflects improved cardiac function and relief of ischemia. Oxygen saturation: Earlier, the client showed dyspnea and shallow, labored respirations, with an SpO₂ of 96% on room air. An improved or sustained oxygen saturation level after PCI indicates better oxygen delivery and respiratory status, confirming reduced cardiac workload and improved perfusion.

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