After 2-hour onset of acute chest pain, the client is brought to the emergency department for evaluation. Elevation of which diagnostic findings would the nurse identify as suggestive of an acute myocardial infarction at this time?
A) Troponin I
B) Myoglobin
C) WBC (white blood cell) count
D) C-reactive protein
B
Feedback:
Myoglobin is a biomarker that rises in 2 to 3 hours after heart damage. Troponin is the gold standard for determining heart damage, but troponin I levels due not rise until 4 to 6 hours after MI. WBCs and C-reactive protein levels will rise but not until about day 3.
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A patient asks the nurse, "What causes cataracts in older people?" Which of these statements should form the basis for the nurse's response?
a. "Cataracts usually result from chronic systemic diseases." b. "Cataracts may form as a result of exposure to ultraviolet light over time." c. "Cataracts are believed to result from eye injuries sustained early in life." d. "Cataracts usually result from the prolonged use of toxic substances."
You are conducting patient teaching about cholesterol levels in the body. When discussing the patient's elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of these levels by stating what?
A) "Increased LDL and decreased HDL increase my risk of coronary artery disease." B) "Increased LDL and decreased HDL decrease my risk of coronary artery disease." C) "The decreased HDL level will increase the amount of cholesterol moved away from the artery walls." D) "The increased LDL will decrease the amount of cholesterol deposited on the artery walls."
An 80-year-old patient is being admitted from a nursing home for treatment of septic shock. Which assessment finding should the nurse investigate as the most likely source of the sepsis?
1. A red, flat rash in the perineal area 2. History of exposure to a daughter who is receiving chemotherapy 3. Report that several patients at the nursing home have scabies 4. An indwelling urinary catheter inserted 3 days ago by nursing home personnel
A patient who is receiving an antipsychotic drug is restless, paces, and cannot sit still when watching television
The patient says, "I couldn't sleep last night because I needed to pace." The nurse's communication to the health care provider would be to suggest: a. prescribing an anticholinergic drug. b. discontinuing the antipsychotic drug. c. prescribing dopaminergic medication. d. using an antihistamine at bedtime to promote sleep.