Myocardial Infarction occurs when blood flow to the heart either stops or decreases causing damage to that heart muscle. If you are a student of medicine in need of this type of insight, this is the quiz for you.
Worsening chest pain that began earlier in the evening.
History of cerebral hemorrhage.
History of prior myocardial infarction.
Hypertension.
Increases fitness and prevents future heart attacks.
Prevents bedsores.
Prevents DVT (deep vein thrombosis).
Prevent constipations.
Hypertension.
Bradycardia.
Bounding pulse.
Confusion.
Chest pain
Dyspnea
Edema
Palpitations
To sedate the client
To decrease the client's pain
To decrease the client's anxiety
To decrease oxygen demand on the client's heart
Pleural effusion.
Pulmonary edema.
Atelectasis.
Oxygen toxicity.
Hypertension
High urine output
Dry mucous membranes
Pulmonary crackles
Perform activities of daily living for the client to decease frustration.
Provide a stimulating environment.
Establish and maintain a routine.
Try to reason with the client as much as possible.
Disappearance of Q waves
Elevated ST segments
Absence of P wave
Flattened T waves
Allow him to release his feelings and then leave him alone to allow him to regain his composure
Refocus the conversation on his fears, frustrations and anger about his condition
Explain how his being upset dangerously disturbs his need for rest
Attempt to explain the purpose of different hospital routines
Shortness of breath
Chest pain
Elevated blood pressure
Increased pulse rate
Decrease anxiety and restlessness
Prevents shock and relieves pain
Dilates coronary blood vessels
Helps prevent fibrillation of the heart
Monitoring urine output frequently
Monitoring blood pressure every 4 hours
Obtaining serum potassium levels daily
Obtaining infusion pump for the medication
Able to perform self-care activities without pain
Severe chest pain
Can recognize the risk factors of Myocardial Infarction
Can participate in cardiac rehabilitation walking program
Allow the client to view his chart
Contact the supervisor and physician for approval
Ask the client if he has concerns about his care
Tell the client that he isn't permitted to view his chart.
A 34 year-old post operative appendectomy client of five hours who is complaining of pain.
A 44 year-old myocardial infarction (MI) client who is complaining of nausea.
A 26 year-old client admitted for dehydration whose intravenous (IV) has infiltrated.
A 63 year-old post operative’s abdominal hysterectomy client of three days whose incisional dressing is saturated with serosanguinous fluid.
60 minutes
30 minutes
9 days
6-12 months
SGOT, CK, and LDH are all elevated immediately.
SGOT rises 4-6 hours after infarction with CK and LDH rising slowly 24 hours later.
CK peaks first (12-24 hours), followed by the SGOT (peaks in 24-36 hours) and then the LDH (peaks 3-4 days).
CK peaks first and remains elevated for 1 to 2 weeks.
Pain associated with angina is relieved by rest.
Pain associated with myocardial infarction is always more severe.
Pain associated with angina is confined to the chest area.
Pain associated with myocardial infarction is referred to the left arm.
Catecholamines released at the site of the infarction causes intermittent localized pain.
Parasympathetic reflexes from the infarcted myocardium causes diaphoresis.
Constriction of central and peripheral blood vessels causes a decrease in blood pressure.
Inflammation in the myocardium causes a rise in the systemic body temperature.
Adverse effects of spironolactone (Aldactone)
Adverse effects of digoxin (Lanoxin)
Therapeutic effects of propranolol (Indiral)
Therapeutic effects of furosemide (Lasix)
The client with diabetes with a blood glucose of 95mg/dL
The client with hypertension being maintained on Lisinopril
The client with hypertension being maintained on Lisinopril
The client with Raynaud’s disease
Call for help and note the time.
Clear the airway
Give two sharp thumps to the precordium, and check the pulse.
Administer two quick blows.
An elderly woman complaining of a loss of appetite and fatigue for the past week
A football player limping and complaining of pain and swelling in the right ankle
A 50-year-old man, diaphoretic and complaining of severe chest pain radiating to his jaw
A mother with a 5-year-old boy who says her son has been complaining of nausea and vomited once since noon
3 oz. broiled fish, 1 baked potato, ½ cup canned beets, 1 orange, and milk
3 oz. canned salmon, fresh broccoli, 1 biscuit, tea, and 1 apple
A bologna sandwich, fresh eggplant, 2 oz fresh fruit, tea, and apple juice
3 oz. turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1 orange
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