Sole- Ch 13 E Questions
The nurse is caring for a patient with a diagnosis of acute myocardial infarction (AMI). Which medication should the nurse anticipate administering to the patient to reduce platelet aggregation? A. Aspirin B. Lidocaine C. Nitroglycerin D. Oxygen
A. Aspirin
The patient presents to the emergency department after having crushing chest pain for the past 5 hours. The ECG and laboratory work confirm suspicions of an acute myocardial infarction (AMI). Which findings would be the most conclusive that the patient is having an AMI? (SATA) A. ECG changes with ST-elevation B. Elevated CK-MB isoenzymes C. Elevated serum troponin levels D. Elevated urinary myoglobin level
A. ECG changes with ST-elevation, B. Elevated CK-MB isoenzymes, C. Elevated serum troponin levels
An adult patient suffered an anterior wall myocardial infarction (MI) 4 days ago. Today the patient is experiencing dyspnea and sitting straight up in bed. The nurse's assessment includes bibasilar crackles, an S3 heart sound with a heart rate of 125 beats/min. The nurse anticipates a diagnosis of: A. Heart failure B. Papillary muscle rupture C. Pericarditis D. Pulmonary embolism
A. Heart failure
The patient presents to the emergency department with severe substernal chest discomfort. Cardiac enzymes are elevated, and his ECG shows ST-segment depression in V2 and V3. The nurse anticipates a diagnosis of: A. Non-Q-wave myocardial infarction (MI) B. Pulmonary embolism C. Q-wave myocardial infarction (MI) D. Right ventricular infarction
A. Non-Q-wave myocardial infarction (MI)
The nurse explains to the new RN that angiotensin-converting enzyme inhibitors (ACE inhibitors) should be started within 24 hours of acute myocardial infarction (AMI). Which statement by the new RN indicates that teaching has been effective? A. "ACE inhibitors are started within 24 hours to prevent hibernating myocardium" B. "ACE inhibitors are started within 24 hours to prevent myocardial remodeling" C. "ACE inhibitors are started within 24 hours to prevent myocardial stunning" D. "ACE inhibitors are started within 24 hours to prevent tachycardia"
B. "ACE inhibitors are started within 24 hours to prevent myocardial remodeling"
Which statements related to the management of unstable angina are true? (SATA) A. Aspirin is given at the onset of each chest pain episode B. Calcium channel blockers help to reduce symptoms C. Early revascularization (e.g. angioplasty) may be helpful D. It is best treated with rest and nitroglycerin
B. Calcium channel blockers help to reduce symptoms, C. Early revascularization (e.g. angioplasty) may be helpful, D. It is best treated with rest and nitroglyceri
A 67-year-old female is admitted to the emergency department complaining of midback pain and shortness of breath for the preceding 2 hours. She also complains of nausea and states that she vomited twice before coming to the hospital. She denies any chest discomfort or arm pain. The nurse prepares to the treat the patient for a diagnosis of: A. Flu symptoms B. Anxiety attack C. Myocardial infarction (MI) D. Osteoporosis
C. Myocardial infarction (MI)
The patient, who is being treated for hypercholesterolemia, complains of hot flashes and a metallic taste in the mouth. The nurse educates the patient that this is a side effect of: A. Bile acid resins B. Clopidogrel C. Nicotinic acid D. Statins
C. Nicotinic acid
A patient is complaining of midsternal chest discomfort radiating down the right arm. The discomfort has been present for about 5 minutes. The patient is also asthmatic and allergic to calcium channel blockers. The nurse anticipates an order from the health care provider for which medication? A. Isoptin B. Metoprolol C. Nifedipine D. Nitroglycerin sublingual
D. Nitroglycerin sublingual
The nurse is caring for a patient who has symptoms of an acute myocardial infarction (AMI). Which lab should the nurse prepare to draw in order to detect myocardial necrosis? A. CK B. CK-MB C. Potassium D. Troponin 1
D. Troponin 1
