A patient is admitted with an acute myocardial infarction (AMI). The nurse knows that an angiotensin-converting enzymes (ACE) inhibitor should be started within 24 hours to reduce the incidence of which process?

a. Myocardial stunning
b. Hibernating myocardium
c. Myocardial remodeling
d. Tachycardia


C
Myocardial remodeling is a process mediated by angiotensin II, aldosterone, catecholamine, adenosine, and inflammatory cytokines, which causes myocyte hypertrophy and loss of contractile function in the areas of the heart distant from the site of infarctions. ACE inhibitors reduce the incidence of remodeling.

Nursing

You might also like to view...

To what does the moral principle of fidelity refer?

1. Truth telling 2. Duty to do no harm 3. Faithfulness 4. Doing good

Nursing

The type of leadership that uses four different styles—directing, coaching, supporting, and delegating—is:

a. autocratic. b. situational. c. democratic. d. authoritative.

Nursing

A 32-year-old male diagnosed 10 years ago with leukemia has just been informed that he has relapsed and must start chemotherapy again. How does the nurse know this patient might respond?

A) With partial capitulation syndrome B) With affective dysfunction disorder C) With bargaining D) With confusion

Nursing

A new nurse is preparing to start a new job. What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.)

a. Take a crisis intervention course to under-stand signs of escalating violence. b. Become familiar with the organization's policy regarding violence. c. Be prepared to handle any violent situa-tion alone. d. Be aware of procedures that can be used to defuse situations. e. Appear intimidating so that the violent person will back down.

Nursing