Blood tests are ordered for a patient with suspected heart failure (HF). Which test result should ...

Blood tests are ordered for a patient with suspected heart failure (HF). Which test result should the nurse review to support this medical diagnosis?
 
  1. liver function
  2. urinalysis and blood urea nitrogen (BUN)
  3. brain natriuretic peptide (BNF)
  4. serum electrolytes

Question 2

Fifteen hours after admission, a patient's CK-MB level is markedly increased. What should this indicate to the treatment team?
 
  1. Cellular necrosis of myocardial tissue has occurred.
  2. Lactic acid is present.
  3. Thrombolytic therapy is indicated.
  4. Cardiac function has returned to normal.

Question 3

A patient enters the emergency department complaining of chest pain that is radiating down the left arm. The emergent treatment plan for this patient should include which nursing actions?
 
  Select all that apply.
  1. morphine intravenously and oxygen
  2. aspirin 325 mg orally
  3. open heart surgery
  4. heparin drip at 100 units per hour
  5. Foley catheter insertion

Question 4

A patient reports chest pain, nausea, and vomiting off and on for the last 4 days, which the patient interpreted as the flu. What laboratory test(s) will provide information about acute cardiac damage for this patient?
 
  1. troponin I and T
  2. red blood cells
  3. CK-MB
  4. homocysteine and platelets

Question 5

The nurse is caring for a patient diagnosed with Prinzmetal or variant angina. What does the nurse realize this indicates for the patient?
 
  1. It indicates presence of coronary artery spasm.
  2. It indicates there is associated renal disease.
  3. It indicates there is associated pulmonary disease.
  4. It indicates the presence of a myocardial infarction.

Question 6

During a follow-up appointment after a myocardial infarction, a patient states, My friends tell me to add more garlic to my diet and start drinking red wine each evening. What response by the nurse is best?
 
  1. Discuss your idea with the physician to see what would benefit you.
  2. That sounds fine. See how they work.
  3. I wouldn't do that if I were you.
  4. You should also add ginkgo biloba for cardiovascular health.

Question 7

While caring for a patient admitted with chest pain, the nurse recognizes that what factor places the patient at the highest risk for heart disease?
 
  1. overweight and carries the weight around the waist
  2. mother died at age 70 of an acute myocardial infarction
  3. a single mother of four young children with a low income
  4. has a desk job and works long hours