Author Question: A 45-year-old patient was diagnosed with an anterior myocardial infarction. The patient asks the ... (Read 92 times)

ec501234 · **on:** Jul 22, 2018

A 45-year-old patient was diagnosed with an anterior myocardial infarction. The patient asks the nurse why his chest hurt when he had his heart attack. What is the best response from the nurse?

a. One of your heart valves wasn't working properly and caused an obstructed blood flow.
b. One of your coronary arteries had a spasm, and your heart muscle wasn't able to get enough blood.
c. Your heart muscle was deprived of oxy-gen, which caused chest pain.
d. The heart muscle is sensitive to changes in electrical conduction.

Question 2

A patient who has been diagnosed with terminal liver cancer states that he does not believe in God, but he has had a meaningful life by contributing to the lives of those around him. This per-son is most likely which of the following?

a. Buddhist
b. Christian
c. Agnostic
d. Atheist

meganlapinski · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
When decreased myocardial blood perfusion is extensive or perfusion is completely blocked, the tissue becomes necrotic and a myocardial infarction occurs. Angina or angina pectoris is the result of decreased blood flow to the myocardium as a result of coronary artery spasms or temporary constriction. When stenosis occurs in the aortic and pulmonic valves, the adjacent ventricles work harder to move the ventricular volume beyond the stenotic valve. When regurgitation occurs, there is a backflow of blood into an adjacent chamber, which causes either pulmonary or systemic congestion. A dysrhythmia is a disturbance in the electrical impulse of the heart rhythm. Any rhythm not generated at the sinoatrial node is classified as such. Dysrhythmias are primary conduction disturbances that occur as a response to ischemia, valvular abnormalities, anxiety, and drug toxicity (e.g., digoxin toxicity).

Answer to Question 2

D
Atheists search for meaning in life through their work and relationships with others. It is impor-tant for agnostics to discover meaning in what they do or how they live because they find no ul-timate meaning for the way things are. They believe that we, as people, bring meaning to what we do. A Buddhist turns inward, valuing self-control, whereas a Christian looks to the love of God to provide enlightenment and direction in life.