The nurse is reviewing the client's medical record. Exhibits The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.
Explanation & Rationale
Rationale: A. Pain level: The client's pain level decreased from 7/10 to 5/10 after 2 doses of nitroglycerin, which indicates that the treatment is effective in reducing the chest pain associated with myocardial infarction (MI). B. Urinary output: The client's urinary output (32 mL) is still low compared to intake (500 mL), suggesting potential renal perfusion issues. Urine output should be more closely monitored as it may indicate worsening shock or poor kidney perfusion. C. Blood pressure: The client's blood pressure has decreased from 176/82 mm Hg to 110/62 mm Hg. A drop in blood pressure, especially after treatment with nitroglycerin and morphine, suggests that the heart's workload is reducing and the condition is stabilizing. D. Respiratory rate: The respiratory rate has decreased slightly from 24/min to 22/min, but it still remains elevated. This may indicate ongoing respiratory distress or the need for further assessment and stabilization of the respiratory system. E. Echocardiogram results: The echocardiogram results indicate a myocardial infarction, which means that while the condition is identified, it does not yet suggest improvement. Further monitoring and interventions are required to prevent further damage to the heart muscle. F. Oxygen saturation: Oxygen saturation improved from 89% on room air to 92% with supplemental oxygen at 2 L/min via nasal cannula. This increase indicates better oxygenation, which is crucial for recovery in a patient with a myocardial infarction. G. Heart rate: The client's heart rate decreased from 120/min to 100/min. This reduction indicates improvement in the heart's rhythm and better control of tachycardia, which is important for the stabilization of the patient following MI.