Author Question: A patient with ST-segment elevation in three contiguous electrocardiographic (ECG) leads is admitted ... (Read 109 times)

123654777

  • Hero Member
  • *****
  • Posts: 585
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
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


 

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

For a complete list of videos, visit our video library