The nurse evaluates diagnostic results for a client who has chest pain. Which laboratory test is most specific for acute coronary syndromes?

a. Troponin markers
b. Serum lactate dehydrogenase (LDH)
c. Serum myoglobin
d. Creatine kinase (CK)-MB isoenzyme


A
Although all these laboratory tests are appropriate to confirm or rule out a myocardial infarction, the one most specific for acute coronary syndromes is troponin T. When elevated, it serves to identify the development of unstable angina, subendocardial MI, or MI.

Nursing

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When caring for a patient from another culture, what is the best strategy for the nurse to use in communicating with the patient?

a. Using a cultural joke to break the ice b. Stereotyping the patient within his or her culture c. Considering the context of the patient's background d. Assuming the patient or the family member speaks English

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Which portion of the interview determines how well the client can perform activities of daily living (ADLs)?

A) Cultural history B) Functional assessment C) Chief complaint D) Psychosocial history

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The most important topic related to health promotion the nurse should teach a client before being discharged after an organ transplant is

a. housing options close to the transplant center for the next 1-2 months. b. how to access funding to pay for lifelong immunosuppressant therapy. c. primary prevention measures against common infectious diseases. d. transplant team contact information for the client's primary health care provider.

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Which of the following body-composition estimation methods requires the technician to practice the skill many times before becoming proficient at the technique?

A. Skinfold measurements B. Circumference measurements C. Bioelectrical impedance analysis (BIA) D. Near infrared interactance (NIR)

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