The patient is admitted with a suspected acute myocardial infarction (MI)
In assessing the 12-lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the patient is in the process of an evolving Q wave myocardial infarction(MI)? a. ST-segment elevation on ECG and elevated CPK-MB or troponin levels
b. Depressed ST-segment on ECG and elevated total CPK
c. Depressed ST-segment on ECG and normal cardiac enzymes
d. Q wave on ECG with normal enzymes and troponin levels
A
ST segment elevation and elevated cardiac enzymes are seen in Q wave MI.
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The nurse has delegated the task of bathing a semicomatose client to ancillary personnel. The nurse suggests that the personnel multitask while completing the bath
Which of the following would be the most appropriate intervention for the ancillary personnel to accomplish while bathing this particular client? 1. Oral hygiene care 2. Moisturizing hands and feet 3. Passive range of motion exercises 4. Care of the client's intravenous site
A client states, "I am having a severe headache with pain over my right eye." This statement is classified as
A) Primary source B) Objective data C) Symptom identification D) Planning care
The charge nurse is reviewing charting completed on clients in the maternal–child triage unit. Which entry requires immediate intervention?
1. Multipara at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis." 2. Primipara at 41 weeks: "Client reports leaking clear fluid from her vagina for 7 hours." 3. Primipara at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath." 4. Multipara at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, ?2 station, up to walk in hallway."
Cardiac output is a function of the heart rate and:
A) sinoatrial node. B) electrical impulses. C) autonomic nervous system. D) stroke volume.