
The nurse is caring for a client with acute coronary syndrome who has returned to the coronary care unit after having percutaneous coronary intervention and the nurse obtains these assessment data. Which of the following data indicate the need for immediate intervention by the nurse?
A) Pedal pulses 1+
B) Heart rate 100 beats/minute
C) Blood pressure 104/56 mm Hg
D) Chest pain level 8 on a 10-point scale
Correct Answer:
Verified
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