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  • Which of the following blood tests is most indicative of cardiac damage?
    Which of the following blood tests is most indicative of cardiac damage?
    The correct answer to this question is C. After a myocardial injury, Troponin I levels rise rapidly and are detectable within the hour, but Troponin I levels are not detectable in people who have not suffered a cardiac injury. Lactate dehydrogenase is present in almost all body tissues but is not specific to heart muscle. ldh isoenzymes are useful in diagnosing cardiac injury. Complete blood count is obtained to review blood counts, and a complete chemistry is obtained to review electrolytes. Creatine kinase levels may rise with skeletal muscle injury, so the creatine kinase isoenzymes are required to detect cardiac injury.

  • What should the nurse assess to determine whether the client has other major risk factors for CAD in the given question? An obese white male client, age 49, is diagnosed with...
    What should the nurse assess to determine whether the client has other major risk factors for CAD in the given question? An obese white male client, age 49, is diagnosed with...
    CAD refers to coronary artery disease and it is very dangerous to the patient. If someone has coronary artery disease, then they have a cardiovascular disease. There are many different types that affect the heart. Many people who suffer from one of these diseases would have pain in their chest. Although a person could be as healthy as can be, but contract coronary artery disease because it is in their family history. However, a poor diet could also cause CAD. High cholesterol, obesity and smoking can result in CAD. Therefore, if a person who is obese and has coronary artery disease, the nurse should check out his diabetes history. This would show whether he is more susceptible to coronary artery disease.

  • What information should The unit council in the telemetry unit gather to study whether client education about resuming sexual activity after an acute myocardial infarction (MI) is being taught?
    What information should The unit council in the telemetry unit gather to study whether client education about resuming sexual activity after an acute myocardial infarction (MI) is being taught?
    1. the percentage of clients on the unit diagnosed with an acute mi who were taught about resuming sexual activity-rationale: the unit council needs to assess the number of clients diagnosed with an acute mi on the telemetry unit who were actually taught about resuming sexual activity. the unit council needs to identify the number of clients who were taught, not the quality of the teaching. only education about resuming sexual activity is pertinent to this performance improvement study. the nurses assessment of the quality of client education isnt pertinent to this study either.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 344.

  • Why is morphine given to the client? A client is experiencing an acute myocardial infarction (MI) and I.V. morphine is ordered.
    Why is morphine given to the client? A client is experiencing an acute myocardial infarction (MI) and I.V. morphine is ordered.
    1. lowers resistance, reduces cardiac workload, and decreases myocardial oxygen demand.-rationale: when given to treat acute mi, morphine eliminates pain, reduces venous return to the heart, reduces vascular resistance, reduces cardiac workload, and reduces the oxygen demand of the heart. morphine doesnt increase myocardial contractility, raise blood pressure, or increase venous return.client needs category: physiological integrityclient needs subcategory: pharmacological and parenteral therapiescognitive level: knowledgereference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 965.

  • What should be your first priority when taking care of a patient exhibiting signs and symptoms of coronary artery disease?
    What should be your first priority when taking care of a patient exhibiting signs and symptoms of coronary artery disease?
    Oxygen is one of the most important things that most organs in the body live off of. In order to be healthy, some people may need oxygenation. This means that certain organs were not getting enough oxygen and are needing more. This is where oxygenation comes into play. Myocardial oxygenation refers to needing more oxygen to the heart since myocardial refers to the heart. Coronary artery disease is when the arteries are blocked or even partially blocked usually due to poor health and exercise. The blood can’t flow to the heart and therefore the heart is not receiving enough oxygen. If a nurse comes in contact with a patient who is showing signs of coronary artery disease, then he or she should increase the oxygen to the heart.

  • What is the infusion rate at which the nurse should set the I.V. pump? A client with heart failure is receiving furosemide (Lasix), 40 mg I.V. The physician orders 40 mEq of potassium...
    What is the infusion rate at which the nurse should set the I.V. pump? A client with heart failure is receiving furosemide (Lasix), 40 mg I.V. The physician orders 40 mEq of potassium...
    The answer to this is letter B. This refers to 25 ml/hour. There is a formula that should be followed in order to reach this conclusion. The total volume divided by the total time of infusion in hours. If we would be using the details that are mentioned above, the formula would read ml/hour100 ml/4 hours = 25 ml/hour. It is best that this will be learned by the physician immediately so that proper procedures will be done to help improve the patient’s condition. Heart failure is always a life-threatening condition that should be given proper treatment soon otherwise, it can be fatal.

  • What should the nurse assess for if she finds that a client has digoxin toxicity?
    What should the nurse assess for if she finds that a client has digoxin toxicity?
    Digoxin consumption can result in poisoning, but oddly enough digoxin toxicity can come from the consumption of certain medicines that contain digoxin or from eating the plant foxglove which contains something like digoxin. Both of these problems after resulting in poisoning due to consuming too much is called digoxin toxicity. There are certain signs and symptoms of digoxin toxicity which include throwing up, no eating as much, vision is blurry and the heartbeat is abnormal. The way to test a patient for digoxin toxicity is to conduct a blood test to determine if there is a large amount of digoxin in the body’s system or conduct an ECG. Therefore, if a nurse is assessing a patient and she finds that a client has digoxin toxicity, she or he would need to determine if the patient’s vision is blurry or changing.

  • Why is the following check so important? Before using a defibrillator to terminate ventricular fibrillation, a nurse should check the synchronizer switch.
    Why is the following check so important? Before using a defibrillator to terminate ventricular fibrillation, a nurse should check the synchronizer switch.
    1. the defibrillator won\ t deliver a shock if the synchronizer switch is turned on.-rationale: the nurse needs to check the synchronizer switch to ensure the switch is turned off. the defibrillator wont deliver a shock to the client in ventricular fibrillation if the synchronizer switch is turned on because the defibrillator needs to recognize a qrs complex when the switch is turned on. the synchronizer switch should be turned on when attempting to terminate arrhythmias that contain qrs complexes, such as rapid atrial fibrillation thats resistant to pharmacologic measures. a synchronized shock should occur with the qrs complex, not the t wave, to avoid inducing ventricular fibrillation and allow for a lower shock dose.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 844.

  • What should the nurse do to assess the hepatojugular reflux if she is assessing a client with heart failure?
    What should the nurse do to assess the hepatojugular reflux if she is assessing a client with heart failure?
    1. elevate the client's head to 90 degrees.- rationale: as the right upper abdomen (the area over the liver) is compressed for 30 to 40 seconds, the nurse observes the internal jugular vein. If the internal jugular vein becomes distended, a client has positive hepatojugular reflux. hepatojugular reflux, a sign of right-sided heart failure, is assessed with the head of the bed at a 45-degree, not 90-degree, angle. The client needs category: physiological integrity, the client needs subcategory: reduction of risk potential, cognitive level: application reference: Smeltzer, s.c., et al. Brunner & Suddarth's textbook of medical surgical-nursing, 11th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, p. 805.

  • What should be monitored by the nurse to determine the effectiveness of fluid replacement therapy if a client is in hypovolemic shock?
    What should be monitored by the nurse to determine the effectiveness of fluid replacement therapy if a client is in hypovolemic shock?
    When someone loses fluid too fast, they need for it to be replaced or they may suffer from dehydration or something worse. This person may have lost fluid quickly by sweating or bleeding. When this happens, the fluids must be replaced. They may undergo fluid replacement therapy either by drinking the fluids by mouth or by an IV if the person can’t drink fluids on their own. If a client is experiencing hypovolemic shock after having fluid replacement therapy, the nurse will be looking for certain things. Usually, if the patient is needing fluid replacement therapy, they are probably suffering from other problems as well. The nurse should be monitoring the patient’s blood pressure to make sure that it doesn’t fall below a certain amount.

  • What is partial thromboplastin time?
    What is partial thromboplastin time?
    A partial thromboplastin time test is a blood test that helps doctors determine the ability for your blood to clot, to test your blood clotting abilities, your doctor collects a sample of your blood and adds substances that will make your blood congeal. The test gauges how many seconds it takes for the clot to form. Coagulation is the process your body enacts to put a stop to the blood flow. Platelets generate a plug to cover the damaged tissue. This is when your body sends signals for your blood to clot. A deficiency in the ability to clot can lead to symptoms such as excessive bleeding, persistent nosebleeds, and easy bruising.

  • What among the given options is a disorder of a breast?
    What among the given options is a disorder of a breast?
    (F) All of the above • Cysts – Fluid-filled sacs in the breast that feel like small lumps but are not cancerous; treatment is only required if the cyst causes pain or discomfort. • Fibroadenoma – Small lumps in the breast caused by reproductive hormones; not cancerous, but may be monitored to ensure there are no major changes. • Paget’s disease – A rare form of breast cancer where cancer cells collect in or around the nipple. • Mastitis – Occurs in breastfeeding women; an infection in the breast tissue caused by a clogged milk duct. • Gynecomastia – Swollen male breast tissue usually caused by a hormone imbalance.

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