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

Author Question: The nurse has just received an order for tenecteplase (TNKase) for a patient experiencing an acute ... (Read 36 times)

jayhills49

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
The nurse has just received an order for tenecteplase (TNKase) for a patient experiencing an acute myocardial infarction. The nurse should administer this drug:
 
  a. by bolus injection.
  b. by infusion pump over 24 hours.
  c. slowly over 90 minutes.
  d. via monitored, prolonged infusion.

Question 2

A patient arrives in the emergency department complaining of chest pain that has lasted longer than 1 hour and is unrelieved by nitroglycerin.
 
  The patient's electrocardiogram reveals elevation of the ST segment. Initial cardiac troponin levels are negative. The patient is receiving oxygen via nasal cannula. Which drug should be given immediately?
  a. Aspirin 325 mg chewable
  b. Beta blocker given IV
  c. Ibuprofen 400 mg orally
  d. Morphine intravenously


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sylvia

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Tenecteplase (TNKase) is given by bolus injection. Tissue plasminogen activator (tPA) must be infused over 90 minutes. Because tenecteplase (TNKase) is given by bolus injection, an infusion pump is not required. Although the patient should be monitored, tenecteplase (TNKase) does not require a prolonged infusion time.

Answer to Question 2

ANS: A
This patient shows signs of acute ST-elevation myocardial infarction (STEMI). Because cardiac troponin levels usually are not detectable until 2 to 4 hours after the onset of symptoms, treatment should begin as symptoms evolve. Chewable aspirin (ASA) should be given immediately to suppress platelet aggregation and produce an antithrombotic effect. Beta blockers are indicated but do not have to be given immediately. Ibuprofen is contraindicated. Morphine is indicated for pain management and should be administered after aspirin has been given.


jayhills49

  • Member
  • Posts: 559
Reply 2 on: Jul 23, 2018
Gracias!

komodo7

  • Member
  • Posts: 322
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
Schematic of an automated external defibrillator (AED) attached to a patient. Schematic of an automated external defibrillator (AED) attached to a patient.
Patient teaching - eye assessment Patient teaching - eye assessment
The physician will begin visual inspection of the patient immediately upon entering the examination ... The physician will begin visual inspection of the patient immediately upon entering the examination ...
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ... Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ...
Video: Biological organic compounds

For a complete list of videos, visit our video library