This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The patient in the emergency department experienced an acute myocardial infarction (MI) 8 hours ago. ... (Read 36 times)

CORALGRILL2014

  • Hero Member
  • *****
  • Posts: 525
on: Jul 23, 2018
The patient in the emergency department experienced an acute myocardial infarction (MI) 8 hours ago. The nurse is administering reteplase (Retavase) intravenously (IV). The patient asks the nurse what is being done. What is the best response by the nurse?
 
  1. This medicine is widening the arteries in your heart so they can get more oxygen.
  2. This medication is dissolving the clot that is causing your heart attack.
  3. This medicine is thinning your blood so more clots will not develop.
  4. No response is indicated; the patient is past the time frame where thrombolytic therapy is effective.

Question 2

The nurse has completed medication education with the patient who is receiving atenolol (Tenormin). The nurse determines that teaching is effective when the patient makes which statement?
 
  1. I must avoid grapefruit juice when I take this medicine.
  2. I must call my doctor if I want to stop this medicine.
  3. I must check my pulse before taking the medicine, and call the doctor if it is less than 50.
  4. I must take this medicine with food so it will be properly absorbed.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

xMRAZ

  • Sr. Member
  • ****
  • Posts: 363
Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 2
Rationale: When treating myocardial infarction (MI), thrombolytic therapy is administered to dissolve clots obstructing the coronary arteries, thus restoring circulation to the myocardium. Thrombolytics dissolve clots in coronary arteries; they are not vasodilators. Thrombolytics are most effective when administered from 20 minutes to 12 hours after the onset of myocardial infarction (MI) symptoms; this patient is within the time frame. Thrombolytics dissolve clots in coronary arteries, they are not anticoagulants.

Answer to Question 2

Correct Answer: 2
Rationale: When beta blockers are abruptly discontinued, adrenergic receptors are stimulated causing excitation. This could result in tachycardia or myocardial infarction (MI). Atenolol (Tenormin) may be taken with or without food. Atenolol (Tenormin) is not metabolized through the CYP 450 chromosome system, so grapefruit juice is not contraindicated. Patients should check their pulse prior to taking atenolol (Tenormin), but they should call the physician if the pulse is less than 60, not 50.


CORALGRILL2014

  • Member
  • Posts: 525
Reply 2 on: Jul 23, 2018
Wow, this really help

dyrone

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Taking a Patient’s Temperature with a Tympanic Thermometer Taking a Patient’s Temperature with a Tympanic Thermometer
Every medical office should keep emergency supplies in a waterproof container. Every medical office should keep emergency supplies in a waterproof container.
Patient having glaucoma test. Patient having glaucoma test.
Foley catheter with balloon in the bladder of a male patient. Foley catheter with balloon in the bladder of a male patient.
Men and women work the same number of hours a week, but men spend more time on paid work, and women ... Men and women work the same number of hours a week, but men spend more time on paid work, and women ...
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
Video: Structures that affect circulation - kidneys and blood volume and skeletal muscle pumping

For a complete list of videos, visit our video library