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 18 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
Wow, this really help

Liddy

  • Member
  • Posts: 342
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

The nurse conducts the health history as the first step in the nursing assessment The nurse conducts the health history as the first step in the nursing assessment
Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
Patient teaching: female breast assessment Patient teaching: female breast assessment
Common patient positions. Common patient positions.
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 ...
If drug elimination mechanisms become saturated, a drug may exhibit zero-order elimination. If drug elimination mechanisms become saturated, a drug may exhibit zero-order elimination.
Video: Neuron Type Animation

For a complete list of videos, visit our video library