Difficulty: Medium
Average Score: 69%
Simulated
After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?
Correct answer
A patient with unstable angina who has just returned after a percutaneous coronary intervention (PCI) is at risk for hemorrhage from the arterial access site. Immediate assessment of blood pressure, pulses, and the access site is required. Anxiety, scheduled medication, and chest pain are less urgent.