The nurse is assessing a patient suspected to have myocardial infarction. Which of the following questions is a priority?

  1. Are you undergoing a lot of stress lately?
  2. When did these symptoms start?
  3. Did you take any medications recently?
  4. All of the above
Explanation

Answer: B - The priority question should be “When did these symptoms start?” The nurse must be able to identify the onset of symptoms and this should be a priority during assessment. It is important to know the details when the symptoms started, since the patient’s symptoms of MI will be considered for thrombolytic therapy provided that they started no longer than six hours prior.

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