« previous next »

Author Question: A patient with ST-segment elevation in three contiguous electrocardiographic (ECG) leads is admitted ... (Read 81 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?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

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.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
Position of patient to assess jugular vein distention Position of patient to assess jugular vein distention
A medical assistant helps the physician with a patient. A medical assistant helps the physician with a patient.
Example of a patient statement. Example of a patient statement.
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Video: Miller's reaction chamber experiment Animation

For a complete list of videos, visit our video library