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Health Promotion and Maintenance
43. After reviewing a patient's history, vital signs, physical assessment, and laboratory data, which information shown in the accompanying figure is most important for the nurse to communicate to the health care provider?
a. Q waves on ECG
b. Elevated troponin levels
c. Fever and hyperglycemia
d. Tachypnea and crackles in lungs
When planning emergent care for a patient with a suspected MI, what should the nurse anticipate administrating?
A Oxygen, nitroglycerin, aspirin, and morphine
B Oxygen, furosemide (Lasix), nitroglycerin, and meperidine
C Aspirin, nitroprusside (Nipride), dopamine (Intropin), and oxygen
D Nitroglycerin, lorazepam (Ativan), oxygen, and warfarin (Coumadin)
Correct Answer: 1,2,3
Rationale 1: A person can make a choice to modify HTN by controlling it through meds, weight control, diet, & exercise.
Rationale 2: A person can make a choice to modify DM by controlling it through meds, weight control, diet, & exercise.
Rationale 3: A person can make a choice to obesity by controlling it through meds, weight control, diet, & exercise.
Rationale 4: Hereditary effects on coronary
heart disease cannot be changed.
Rationale 5: Aging effects on coronary heart disease cannot be changed.
Answer: 1,2
Rationale 1: The mnemonic MONA, cited in the Advanced Cardiac Life Support (ACLS) guidelines, describes a protocol for treatment of pts with suspected myocardial infarction. The mnemonic stands for morphine, oxygen, nitroglycerin, & aspirin. While the mnemonic does not imply a correct sequencing of treatment, it does describe a
protocol for treatment of pts with suspected myocardial infarction.
Rationale 2: The mnemonic MONA, cited in the Advanced Cardiac Life Support (ACLS) guidelines, describes a protocol for treatment of pts with suspected myocardial infarction. The mnemonic stands for morphine, oxygen, nitroglycerin, & aspirin. While the mnemonic does not imply a correct sequencing of treatment, it does describe a protocol for treatment of pts with suspected myocardial infarction.
Rationale 3: Open heart
surgery may be indicated later, but not on admission to the ER.
Rationale 4: Heparin is not part of the admission protocol.
Rationale 5: A Foley catheter is not part of the admission protocol.