Author Question: A 56-year-old patient was admitted to the emergency department with a myocardial infarction. Cardiac ... (Read 96 times)

jrubin · **on:** Jul 11, 2018

A 56-year-old patient was admitted to the emergency department with a myocardial infarction. Cardiac enzymes were drawn. In a patient with a myocardial infarction, which laboratory values would be abnormal?

a. Elevated levels of serum glutamic oxaloacetic transaminase (SGOT) (AST), creatine phosphokinase (CPK-MB), and lactic dehydrogenase (LDH), troponin 1
b. Decreased levels of SGOT (AST), CPK and LDH, troponin 1
c. Elevated levels of SGOT (AST), decreased levels of CPK and LDH, troponin 1
d. Decreased levels of SGOT (AST), increased levels of CPK and LDH, troponin 1

Question 2

An older patient recovering from a fractured hip is concerned about the ability to care for a spouse with Alzheimer's disease. Which nursing response would demonstrate availability?

A) How have you helped your spouse in the past?
B) It sounds like this might be very stressful for you..
C) You'll likely find that your hip will heal quite a bit faster than you expect..
D) I'm going to look into homecare options for you both that might be available..

jharrington11 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Serum cardiac markers are certain proteins that are released into the blood in large quantities from necrotic heart muscle after a myocardial infarction. These markers, specifically cardiac serum enzymes and troponin 1, are important screening diagnostic criteria for acute MI.

Answer to Question 2

B
Feedback:
Acknowledging the stress and difficulty of a situation conveys interest and availability. Asking the patient how the spouse has been helped in the past might place the patient on the defensive. Stating the speed in which the patient's hip will heal does not address the patient's concern. Looking into homecare options focuses on the patient's and spouses potential needs but does not demonstrate availability.