A patient, admitted with chest pain, as a baseline cTnT level of 1.1 mcg/L. The nurse realizes that the level will be rerun in a few hours to determine
1. response to intravenous therapy.
2. response to pain medication.
3. resolving myocardial damage.
4. response to oxygen therapy.
3
Rationale: Cardiac markers are obtained on admission when a patient complains of chest pain. Cardiac markers are redrawn approximately every six hours to evaluate for trends in elevation or decline that signals continued or resolving myocardial damage. Serial levels help determine the extent of myocardial damage. Cardiac markers are not drawn to determine the response to intravenous therapy, pain medication, or oxygen therapy.
You might also like to view...
A 30-year-old woman who has given birth 12 hours prior is displaying signs and symptoms of disseminated intravascular coagulation (DIC)
The client's husband is confused as to why a disease of coagulation can result in bleeding. Which of the nurse's following statements best characterizes DIC? A) "So much clotting takes place that there are no available clotting components left, and bleeding ensues." B) "Massive clotting causes irritation, friction, and bleeding in the small blood vessels." C) "Excessive activation of clotting causes an overload of vital organs, resulting in bleeding." D) "The same hormones and bacteria that cause clotting also cause bleeding."
What percentage of infertility factors are female-related?
a. 20% c. 60% b. 40% d. 80%
A suicidal client agreed on day 2 of hospitalization to write and sign a "no self-harm contract." As a result of this contract, the health care team should plan to:
1. Discontinue suicide precautions 2. Reduce one-to-one observation to observing the client every 15 minutes 3. Reduce observation to observing the client every hour 4. Base the level of observation on staff assessment
The nurse makes a home visit to a client with diabetes mellitus. During the visit, the nurse notes that the client's 3-month supply of insulin vials that were delivered a week ago are not refrigerated. What is the best action by the nurse at this time?
1. Instruct the client that the insulin should be stored away from direct sunlight or excessive heat. 2. Have the client discard the vials. 3. Instruct the client to label each vial with the date when opened. 4. Tell the client this is too much insulin to have on hand.