The nurse notes that there are changes in the ECG of a patient who experienced an MI. Changes may indicate that the occurring ischemia is:

A) P wave inversion
B) T wave inversion
C) Q wave changes with no change in ST or T wave
D) P wave enlargement


Ans: B
Feedback: T wave inversion is an indicator of ischemic damage to the myocardium. Typically, there are not many changes to P waves during or after an MI, while Q wave changes with no change in the ST or T wave indicate an old MI.

Nursing

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The nurse is teaching a local community group about the importance of disease prevention. Why is the nurse justified in emphasizing disease prevention as a component of health promotion?

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A client displaying acute mania is found pacing atop the pool table in the recreation room. She

waves a cue in one hand and gestures that she'll throw the pool balls if anyone comes near her. The priority intervention is to a. get her down off the table. b. tell her she will be taken to seclusion. c. clear the room of all clients. d. assemble a show of force.

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The client at 37 weeks' gestation calls the clinic nurse to report that neither she nor her partner has felt fetal movement for the past 48 hours. The nurse anticipates that the physician will order which test to assess fetal viability?

1. Ultrasound 2. Serum progesterone levels 3. Computed tomography (CT) scan 4. Contraction stress test

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What underlying values should be a part of a healthy community?

a. Responsibility and respect b. Connectedness and caring c. Stability and safety d. Marketability and security

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