Which of the following ECG changes is one of the earliest to occur during an ST-elevation infarction, but may have resolved by the time the patient seeks medical assistance?
a. Pathologic Q waves
b. Hyperacute T waves
c. Horizontal ST-segments
d. Lengthening of the QT interval
B
Hyperacute (i.e., tall) T waves are sometimes called tombstone T waves and typically measure more than 50% of the preceding R wave. In addition to an increase in height, the T wave becomes more symmetric and may become pointed. These changes are often not recorded on the ECG because they have typically resolved by the time the patient seeks medical assistance.
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When assessing the blood pressure using the brachial artery, the nurse should:
a. position the arm at heart level with the elbow extended and the palm turned upward. b. place the diaphragm chest piece over the cuff before inflating the cuff. c. inflate the cuff until the manometer reads 50 mm Hg above the diminished pulse point. d. confirm the initial reading by retaking the blood pressure immediately.
A patient's laser photocoagulation procedure was delayed 2 weeks until the patient's blood glucose was consistently below 300 mg/dL. The surgery was performed today, and the nurse is providing discharge instructions
Which instruction should be provided regarding new glasses? 1. "We made an appointment for you to be fitted with new glasses tomorrow.". 2. "As soon as your eye has healed, you should call for an appointment to be fitted for new glasses.". 3. "Once your blood glucose is below 200 mg/dL, you should get new glasses.". 4. "Wait until your blood glucose is at your optimal level for at least 6 to 9 weeks before you get new glasses.".
According to Dossey and Keegan (2009) nurses can gain insight into their own spirituality by which of the following?
a. reducing unnecessary time spent on play b. preventing occupational injuries c. expressions of creativity d. enhancing professional goals
One of the main purposes of the Patient Protection and Affordable Care Act was to:
a. Create a government-funded insurance program for all Americans. b. Make health insurance affordable for the middle class and small businesses. c. Decrease the rates of chronic disease in the United States. d. Increase the funding for public health agencies.