Four hours after the onset of pain from an MI, the nurse would expect an increase in which laboratory result?
a. Alkaline phosphatase (ALP)
b. CK-MB
c. Lactate dehydrogenase (LDH)
d. Leukocyte count
B
Serum levels of CK-MB, an isoenzyme of creatine kinase (CK) found primarily in cardiac muscle, increase 3 to 6 hours after the onset of chest pain, peak in 12 to 18 hours, and return to normal levels in 2 to 3 days. CK-MB is one of the preferred cardiac enzymes for diagnosing myocardial infarction. The leukocyte count is measured as it does increase after MI, but is not diagnostic and does not have a predictable pattern of rise, peak, and return to normal. The other two options are not measured as part of the normal diagnostic workup for MI.
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A) True B) False
The client with myasthenia gravis in cholinergic crisis has been treated with atropine. What nursing intervention is a priority for this client?
A. Suctioning the client B. Turning and positioning the client C. Measuring urinary output ever 30 minutes D. Administering anticholinergic drugs on time
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A. acute myelocytic leukemia B. acute lymphocytic leukemia C. chronic myelocytic leukemia D. chronic lymphocytic leukemia
Which intervention will the nurse plan for when managing the detoxification of a patient diagnosed with chronic alcoholism?
a. Low-protein diet to minimize risk of kidney failure b. Seclusion to help manage aggression towards others c. Transporting patient to scheduled 12-step support group meetings d. Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms