Cardiac Disorders NCLEX Questions Nursing Practice Question
The nurse on the telemetry unit has just received the a.m. shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: An S3 heart sound post-MI (A) indicates heart failure or fluid overload, requiring immediate assessment. Edema (B) is chronic, 94% SpO2 (C) is stable, and elevated creatinine (D) is expected in CRF.