Ch 53
A patient is admitted to the emergency department with a diagnosis of ST-segment elevation myocardial infarction (STEMI). Which is the priority nursing action? A Having the patient chew a 325-mg aspirin B Administering meperidine [Demerol] for pain relief C Giving verapamil [Calan] to lower blood pressure D Preparing an insulin drip to manage complications
A
The nurse is teaching a patient who has had an ST-segment elevation myocardial infarction (STEMI) about home medications. Which agent represents a drug category that should be taken by all post-MI patients? A Metoprolol [Lopressor] B Hydrochlorothiazide (HCTZ) C Diltiazem [Cardizem] D Lovastatin [Mevacor]
A
The nurse in the emergency department is receiving a report on a patient diagnosed with ST-elevation myocardial infarction (STEMI). What are the common biochemical markers and symptoms for an STEMI? (Select all that apply.) A Chest pain and electrocardiographic (ECG) changes B Decreased troponin I level C Elevated troponin T level D Elevated creatinine kinase level E Weakness and diaphoresis
ACDE
A patient is admitted to the emergency department complaining of chest pain, and the electrocardiogram (ECG) shows an evolving ST-segment elevation myocardial infarction (STEMI). What intervention should the nurse anticipate? A Administer 400 mg of ibuprofen. B Have the patient chew a 325-mg aspirin. C Administer an ACE inhibitor within 1 week of the onset of chest pain. D Provide oxygen by nasal cannula to achieve an arterial oxygen saturation of 94%.
B
Which adverse effect is the greatest concern with thrombolytic therapy? A Anaphylaxis B Intracranial hemorrhage C Cerebral edema D Hemophilia
B
The nurse is preparing to administer an intravenous (IV) nitroglycerin infusion. For which patient should the nurse question the healthcare provider's prescription to administer IV nitroglycerin infusion? A A patient with an inferior wall myocardial infarction (MI); blood pressure of 170/60 mm Hg B A patient with an anterior wall MI who has pulmonary congestion; heart rate of 92 beats/min C A patient with a right ventricular infarction, confirmed by right-sided ECG changes D A patient with chest pain unrelieved to 3 sublingual nitroglycerin tablets; took tadalafil 4 days ago
C
Which drug would not be included in the treatment plan for a patient who will undergo a primary percutaneous coronary intervention (PCI)? A Aspirin B Heparin C Diltiazem [Cardizem] D Clopidogrel [Plavix]
C
Which is the most beneficial treatment for patients experiencing an ST-segment elevation myocardial infarction (STEMI)? A Oxygen administration B Metoprolol [Lopressor] C Reperfusion therapy D Lidocaine [Xylocaine]
C
Which medication is the treatment of choice for ST-segment elevation myocardial infarction (STEMI)-associated pain? A Aspirin B Lorazepam [Ativan] C Morphine D Hydromorphone hydrochloride [Dilaudid]
C
For all patients undergoing percutaneous coronary intervention (PCI), which drug is recommended to be combined with clopidogrel [Plavix]? A Heparin B ACE inhibitor C Alteplase [Activase] D Aspirin
D
The nurse understands that ventricular fibrillation is a common cause of death after myocardial infarction (MI). Which drug should be readily available to treat ventricular fibrillation? A Propranolol [Inderal] B Dobutamine C Valsartan [Diovan] D Amiodarone [Cordarone]
D