Following a ST-segment myocardial infarction (STEMI), the nurse ...

[jjjetplane]

Following a ST-segment myocardial infarction (STEMI), the nurse should be assessing the patient for which of the following complications? Select all that apply.
 
  A)
  Large amount of pink, frothy sputum and new onset of murmur
  B)
  Tachypnea with respiratory distress
  C)
  Frequent ventricular arrhythmia unrelieved with amiodarone drip
  D)
  Complaints of facial numbness and tingling
  E)
  Enhanced renal perfusion as seen as an increase in urine output

Question 2

A patient is reading a brochure on atherosclerosis while in the waiting room of medical clinic. Which of the following excerpts from the educational brochure warrants correction?
 
  A)
  Because smoking causes a permanent increase in your risk of heart disease, it's best not to start.
  B)
  All things being equal, men have a higher risk of coronary heart disease than perimenopausal women.
  C)
  High blood pressure often accompanies, or even causes, clogging of the arteries.
  D)
  Every bit that you can lower your cholesterol means that you'll have a lower risk of developing heart disease.

[Anna]

Answer to Question 1

Ans:
A, B, C, D

Feedback:

Following MI, many complications can occur: Answer choice A relates to pulmonary edema or papillary muscle rupture; answer choice B refers that acute respiratory distress could result from heart failure; answer choice C relates to life-threatening arrhythmias; answer choice D relates to acute stroke.

Answer to Question 2

Ans:
A

Feedback:

Cessation of smoking is associated with a decrease in the risk of CHD. Males have an increased risk of atherosclerosis. Atherosclerosis is often associated with hypertension. Lowering cholesterol levels brings a commensurate reduction in risk of CHD.