Identify the priority interventions for managing symptoms of an acute myocardial infarction (AMI) in the ED. (Select all that apply)
a. Administration of morphine
b. Administration of nitroglycerin (NTG)
c. Dopamine infusion
d. Oxygen therapy
A, B, D
The initial pain of AMI is treated with morphine sulfate administered intravenously. NTG may be given to reduce the ischemic pain of AMI. NTG increases coronary perfusion because of its vasodilatory effects. Oxygen administration is important for assisting the myocardial tissue to continue its pumping activity and for repairing the damaged tissue around the site of the infarct.
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Which of the following individuals is most likely to be experiencing vasodilation?
A) A 51-year-old man with a history of hypertension who is taking a medication that blocks the effect of the renin-angiotensin-aldosterone system B) A 9-year-old boy who has been given an injection of epinephrine to preclude an anaphylactic reaction to a bee sting C) A 30-year-old woman who takes antihistamines to treat her seasonal allergies D) A 32-year-old man who takes a selective serotonin reuptake inhibitor for the treatment of depression
The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?
a. Assess surfaces exposed to the edges of the cast for pressure areas. b. Keep the patient's blood pressure low to prevent overperfusion of tissue. c. Do not allow turning in bed because that may lead to redislocation of the leg. d. Restrict the patient's dietary intake to reduce the number of times on the bedpan.
Cholinergic drugs
A. produce effects in the body similar to those produced by norepinephrine B. inhibit the adrenergic system C. action is similar to acetylcholine D. block cholinergic activity
A patient who has a history of bipolar disorder recently underwent orthopedic surgery and was discharged to return home
When visited by the home care nurse, the nurse documented the following: slow and soft speech; sad facial expression; and patient crying when describing extreme fatigue, low mood, and the feeling that he will never get well. He has refused to bathe and perform ADLs for several days. Which nursing diagnosis would be appropriate? a. Self-care deficit secondary to possible depression b. Situational low self-esteem related to immobility c. Deficient knowledge related to depression and surgery d. Disturbed thought processes related to bipolar disorder