« previous next »

Author Question: A patient with ST-segment elevation in three contiguous electrocardiographic (ECG) leads is admitted ... (Read 91 times)

123654777

  • Hero Member
  • *****
  • Posts: 585
on: Jun 25, 2018
A patient with ST-segment elevation in three contiguous electrocardiographi c (ECG) leads is admitted to the emergency department (ED) and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI).
 
  Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?
  a. Do you have any allergies?
  b. Do you take aspirin on a daily basis?
  c. What time did your chest pain begin?
  d. Can you rate your chest pain using a 0 to 10 scale?

Question 2

When titrating IV nitroglycerin (Tridil) for a patient with a myocardial infarction (MI), which action will the nurse take to evaluate the effectiveness of the medication?
 
  a. Monitor heart rate.
  b. Ask about chest pain.
  c. Check blood pressure.
  d. Observe for dysrhythmias.


Kaytorgator

  • Sr. Member
  • ****
  • Posts: 345
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
Thrombolytic therapy should be started within 6 hours of the onset of the myocardial infarction (MI), so the time at which the chest pain started is a major determinant of the appropriateness of this treatment. The other information will also be needed, but it will not be a factor in the decision about thrombolytic therapy.

Answer to Question 2

ANS: B
The goal of IV nitroglycerin administration in MI is relief of chest pain by improving the balance between myocardial oxygen supply and demand. The nurse also will monitor heart rate and blood pressure (BP) and observe for dysrhythmias, but these parameters will not indicate whether the medication is effective.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

123654777

  • Hero Member
  • *****
  • Posts: 585
Reply #2 on: Jun 25, 2018
Correct answers!


Kaytorgator

  • Sr. Member
  • ****
  • Posts: 345
Reply #3 on: Jun 25, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Patient teaching: mouth and pharyngeal assessment Patient teaching: mouth and pharyngeal assessment
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
Inspecting a patient’s ear during a physical examination. Inspecting a patient’s ear during a physical examination.
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B) Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B)
Video: Rh blood type and complications during pregnancy & Fertilization

For a complete list of videos, visit our video library