A client presents to the emergency department complaining of chest pain that began 2 hours earlier; the client's electrocardiogram (ECG) is consistent with acute myocardial infarction

The nurse would know that the standard treatment at this time is a. diazepam.
b. lidocaine.
c. streptokinase.
d. verapamil.


C
Clinicians treat acute MI with medications that lyse (dissolve) the clot that forms part of the blockage of the coronary artery. Thrombolytic therapy includes streptokinase, urokinase, tissue plasminogen activator (t-PA, alteplase), anisoylated plasminogen-streptokinase activator complex (APSAC, anistreplase), urokinase plasminogen activator, and the newest agent, reteplase. To qualify for thrombolytic agents, the client must present within 12 hours after the onset of chest pain, meet specific diagnostic criteria, and have no absolute contraindications for the therapy.

Nursing

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An increase in blood urea nitrogen (BUN) and creatinine levels may be seen in:

1. catabolism. 2. anabolism. 3. ketosis. 4. starvation.

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The nurse recognizes the most likely cause of hypokalemia to be which of the following?

a. respiratory acidosis b. severe constipation c. prolonged vomiting d. long-term use of insulin

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A client is diagnosed with an inability to recognize visual information. The nurse realizes that which of the following cranial nerves is involved in the transmitting of visual stimuli to the brain for interpretation?

1. CN II 2. CN III 3. CN IV 4. CN VI

Nursing