A patient with ST-segment elevation in three contiguous electrocardiographic (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 2When 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.
Question 3Heparin is ordered for a patient with a nonST-segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin?
a. Heparin enhances platelet aggregation.
b. Heparin decreases coronary artery plaque size.
c. Heparin prevents the development of new clots in the coronary arteries.
d. Heparin dissolves clots that are blocking blood flow in the coronary arteries.
Question 4Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective, the nurse will monitor for
a. decreased blood pressure and heart rate.
b. fewer complaints of having cold hands and feet.
c. improvement in the strength of the distal pulses.
d. the ability to do daily activities without chest pain.
Question 5The nurse will suspect that the patient with stable angina is experiencing a side effect of the prescribed metoprolol (Lopressor) if the
a. patient is restless and agitated.
b. blood pressure is 90/54 mm Hg.
c. patient complains about feeling anxious.
d. cardiac monitor shows a heart rate of 61 beats/minute.
Question 6Diltiazem (Cardizem) is ordered for a patient with newly diagnosed Prinzmetal's (variant) angina. When teaching the patient, the nurse will include the information that diltiazem will
a. reduce heart palpitations.
b. decrease spasm of the coronary arteries.
c. increase the force of the heart contractions.
d. help prevent plaque from forming in the coronary arteries.
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