This question was created from NURS6560-Midterm18.docx

Question 85
MS . Carson is a 71 – year-old female who presents with significant pleuritic -type ches
pain . She has no known cardiopulmonary history and does not smoke cigarettes . Her
history is significant only for an upper endoscopy this morning for evaluation of severe
gastroesophageal reflux disease ( GERD ) . She tolerated the procedure well and was
discharged home . Over the afternoon she developed worsening pain on the left side of
her chest and finally had to come to the emergency department . Her vital signs are as
follows : temperature 100 OF , pulse 116 boom , respiratory rate 22 breaths per minute
and blood pressure 96/ 60 mm Hg . The AGACNP orders which of the following diagnostic
studies to confirm the suspected diagnosis ?
A Chest radiograph
B. 12 -lead ECG
C . Upper endoscopy
D. Esophagram