A patient is being assessed for myocardial damage. Which of the following diagnostic tests will provide the most information about the patient's heart?

1. creatine kinase level
2. BNP level
3. electrolytes
4. troponin level


4

Rationale: Troponin is a protein found in cardiac muscle and can appear in the blood as early as 3 to 4 hours after myocardial damage. Troponin has a higher sensitivity and specificity for identifying even minor necrosis than CK-MB. The higher the troponin level and/or the longer the troponin levels remain elevated, the greater the size of myocardial damage and the severity of injury. BNP level is assessed for the presence of heart failure. Electrolytes are important to assess but will not provide the most information about the patient's heart damage.

Nursing

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Nursing

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Nursing

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Nursing