A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk to the nurse. Which of these statements would require the most immediate intervention?
1. “I’m feeling extremely thirsty. I’m going to get some water after this.”
2. “I can feel my heart racing.”
3. “My shoulder and arm is hurting.”
4. “My blood pressure reading is 158/80”
1. “I’m feeling extremely thirsty. I’m going to get some water after this.”
Incorrect – This does not require immediate intervention. This is a common response to exercise and activity.
2. “I can feel my heart racing.”
Incorrect – This does not require immediate intervention. This is a common response to exercise and activity.
Correct Answer: 3. “My shoulder and arm is hurting.”
Correct – Unilateral arm and shoulder pain is one of the classic symptoms of myocardial ischemia. The stress test should be halted.
4. “My blood pressure reading is 158/80”
Incorrect – This does not require immediate intervention. Moderate elevation in blood pressure is a common response to exercise and activity.
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