A nurse is admitting a client who has acute heart failure following myocardial infarction

Question 1 of 7

A 56-year-old client is being seen at the primary care clinic for follow-up after having chest pain. The client tells the nurse, “I think I had a heart attack yesterday but it could have just been chest pain. It still hurts some, though.” The provider orders a troponin level and an ECG. Which response from the nurse is most appropriate?

  • Both the ECG and troponin levels may be abnormal, even if the heart attack was yesterday
  • The ECG level may show damage to your heart, but the troponin level will no longer be accurate
  • If you had a heart attack, the ECG will be back to normal now. We just need this as a baseline
  • If you had come in when you were having chest pains, we would have more accurate outcomes. These results may be skewed now

Question 2 of 7

A client has a family history of myocardial infarction and has been experiencing multiple episodes of chest pain. The client is prescribed a medication to prevent heart attacks. Which of the following medications is appropriate for this condition?

  • Indomethacin
  • Propranolol
  • Loperamide
  • Ibuprofen

Question 3 of 7

A 77-year-old client is seen in the ED for chest pain. The provider orders lab work to determine if damage has been done to the heart muscle. Which lab test is a cardiac enzyme that would be ordered to check for heart damage?

  • Diastase
  • CK-MB
  • Phytase
  • Bromelain

Question 4 of 7

A nurse in the emergency room has clients that are all complaining of pain. The nurse knows that the client having pain in which of the following areas is the priority?

  • Lower back
  • Jaw and neck 
  • Lower abdomen 
  • Bilateral flank

Question 5 of 7

The nurse is admitting a client who states, “When I was pregnant I would get heartburn so bad, I was eating antacids like crazy. I now feel the same way, except I am not pregnant. The antacids aren’t helping me and now I have this pain between my shoulder blades.” Which part of this statement is most concerning and must be investigated further?

  • "I was eating antacids like crazy"
  • "I have this pain between my shoulder blades"
  • "The antacids aren't helping me"
  • "When I was pregnant I would get heartburn so bad"

Question 6 of 7

The nurse is caring for a female client who is having an acute myocardial infarction. Which of the following symptoms is specific to females who are experiencing an MI?

  • Heartburn
  • Cough
  • Bradycardia
  • Chest pain

Question 7 of 7

A nurse is caring for a client admitted for NSTEMI who suddenly goes unresponsive. The nurse notes no pulse, calls a code blue, and begins compressions. The provider arrives and orders a dose of epinephrine. What is the appropriate concentration and dose for this situation?

  • 10 mg of 1:10,000
  • 1 mg of 1:1,000
  • 1 mg of 1:10,000
  • 0.5 mg of 1:1,000

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  • School Kaplan University
  • Course Title NURSING 1140
  • Pages 34
  • Ratings 100% (15) 15 out of 15 people found this document helpful

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ATI CardiovascularA nurse is providing teaching about a heart healthy diet to a group of clients with hypertension.Which of the following statements by one of the clients indicates a need for further teaching?-"I may eat 10 ounces of lean protein each day."A nurse is providing teaching for client who has a new diagnosis of angina pectoris. The nurseshould give the client which of the following Information about anginal pain?-exertion and anxiety can trigger the painA nurse in an emergency department is assessing a client who is having a suspected acutemyocardial infarction (MI). Which of the following manifestations should the nurse expect tofind for a client experiencing an acute MI? (Select all that apply.)-Nausea-Tachycardia-DiaphoresisA nurse is providing teaching to a client who has hypertension and a new prescription forcaptopril. Which of the following instructions should the nurse provide?-do not use salt substitutes while taking this medicationA nurse caring for a client who came to the emergency department reporting chest pain. Theprovider suspects a myocardial infarction. While waiting for the troponin levels report the clientasks what this blood test will show. Which of the following explanations should the nurseprovide the client?-troponin is a heart muscle protein that appears in the bloodstream when there is damage to theheartA nurse providing teaching to a client who has stable angina and a new prescription fortransdermal nitroglycerin. Which of the following Instructions should the nurse include? (Selectall that apply.)-apply the patch to a hairless area and rotate sites

-apply a new patch each morning-remove the patch for 10 to 12 hr dailyA nurse teaching a client who has hypertension and a new prescription for atenolol. Which of thefollowing findings should the nurse include as adverse effects of this medication?-bradycardiaA nurse providing teaching to a client who has hypertension and a new prescription forhydrochlorothiazide. Which of the following instructions should the nurse provide?-take the medication early in the dayA nurse in the emergency room is caring for a client who presents with manifestations that amyocardial infarction. Which of the following prescriptions should the nurse take first?-initiate oxygen therapyA nurse is admitting a client who is at 37 weeks of gestation and has severe gestationalhypertension. Which of the following actions should the nurse expect to implement? (Select allthat apply.)-administer magnesium sulfate IV-provide a dark, quiet environment-ensure that calcium gluconate is readily availableA nurse is reviewing blood pressure classifications with a group of nurses at an in-servicemeeting. Which of the following should the nurse include as a risk factor for the development ofhypertension?

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Diabetes, following statements, group of clients

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