The nurse is participating in the care conference for a patient with ACS. What goal should guide the care team's selection of assessments, interventions, and treatments?
A) Maximizing cardiac output while minimizing heart rate
B) Decreasing energy expenditure of the myocardium
C) Balancing myocardial oxygen supply with demand
D) Increasing the size of the myocardial muscle
Ans: C
Feedback:
Balancing myocardial oxygen supply with demand (e.g., as evidenced by the relief of chest pain) is the top priority in the care of the patient with ACS. Treatment is not aimed directly at minimizing heart rate because some patients experience bradycardia. Increasing the size of the myocardium is never a goal. Reducing the myocardium's energy expenditure is often beneficial, but this must be balanced with productivity.
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