A 45 year-old adult male patient is admitted to emergency following a fall from a tree stand in which he sustained a large laceration to the occipital area of his head
The patient relates that prior to the fall, he had developed unrelieved chest pain that was present for approximately 20 minutes before he fell and is still present. The doctor diagnoses the patient with an MI and deep laceration to the head. To minimize cardiac damage, what physician's order will the nurse expect to see for this patient?
A) Thrombolytics, oxygen administration, and bed rest
B) Morphine sulphate, oxygen administration, and bed rest
C) Oxygen administration, anticoagulants and bed rest
D) Bed rest, albuterol nebulizer treatments, and oxygen administration
Ans: B
Feedback: Morphine sulphate reduces preload and decreases workload of the heart, along with increased oxygen from oxygen therapy and bed rest. With decreased cardiac demand, this provides the best chance of decreasing cardiac damage. Thrombolytics and anticoagulants are contraindicated in patients who are bleeding or have a bleeding disorder. Albuterol is a medication used to manage asthma and respiratory conditions and will increase the heart rate.
You might also like to view...
A nurse is caring for a client receiving amoxicillin for the treatment of an acute bacterial urinary tract infection. After administering the drug, the nurse would be alert for which of the following as an adverse reaction to the drug?
A) Abdominal cramps B) Vaginitis C) Bladder irritation D) Stomatitis
A woman is aware that she is the carrier of a sex-linked recessive disease (hemophilia A); her husband is free of the disease. What frequency of this disease could she expect to see in her children?
A) All male children will inherit it. B) All female children will be carriers like she is. C) One-half of her male children will inherit the disease. D) One-half of her female children will inherit the disease.
An enterostomal therapist would suggest that the location for a urinary stoma is the
a. lower abdominal quadrants. b. pubic area. c. rib margins. d. umbilical area.
A client is diagnosed with a terminal illness. Upon receiving this information, the client abruptly rises and runs out of the room. A nurse understands that the client is exhibiting a "fight-or-flight" response
Which neurotransmitter is associated with the "fight-or-flight" response? A) Acetylcholine B) Dopamine C) Serotonin D) Norepinephrine