Your patient has suffered an inferior wall myocardial infarction. This is most commonly due to an obstruction in the:
A. Posterior branch of the right coronary artery
B. Circumflex branch of the left coronary artery
C. Right main coronary artery
D. Left main coronary artery
ANS: A
Blockage in the right coronary artery (RCA) results in damage to the posterior/inferior area of the heart. The left main coronary artery (LCA) branches off to the left anterior descending artery (LAD) and the left circumflex artery (LCX). A highly stenotic LCA or proximal LAD can cause significant heart damage and is often termed the "widow maker." Blockage in the LAD results in damage to the anterior portion of the heart. Blockage in the circumflex branch artery (CFX) results in damage to the posterior and lateral areas.
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A nurse planning a staff education session would correctly explain the role of psychopharmacologic treatment as which of the following?
1. Decrease clients' worst symptoms so that they do not require long-term treatment. 2. Promote clients' physiologic stability so that they can grow holistically. 3. Stabilize clients so that they can participate in psychoanalysis. 4. Manage clients so that they are happy and do not have to endure the stresses of everyday life.
When a patient who introduces herself as a famous movie star and treats everyone and everything in the environment as if it were a movie set, the nurse documents this behavior as:
a. fantasy ideation. b. delusional thinking. c. fixation syndrome. d. imaginary wishes.
An occupational health nurse is assessing a woman who experienced an anaphylactic reaction to a dip that contained crab during an office celebration
Because the woman promptly self-administered epinephrine, her status has normalized and she is now resting in a colleague's office. What action should the nurse perform? A) Liaise with the woman's family and arrange for her to return home. B) Have the woman transported to a nearby emergency department. C) Encourage the woman to limit her physical activity for the next 24 to 48 hours. D) Provide reassurance to limit the woman's anxiety.
The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the management of certain illnesses exist. This implies
1. All patients will be treated the same. 2. Nursing diagnoses are used as the basis of practice. 3. Assessment is based on the medical model and does not involve nursing. 4. The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.