The nurse is caring for a patient admitted with unstable angina. The laboratory results reveal that the initial troponin I level is elevated in this patient. What conclusion should the nurse draw from this fact?
A) This is only an accurate indicator of myocardial damage when it reaches its peak in 24 hours.
B) Because the entry diagnosis is unstable angina, this is a poor indicator of myocardial injury.
C) This is an accurate indicator of myocardial injury.
D) It is only an accurate indicator of skeletal muscle injury.
C
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During the active stage of labor, a patient's membranes spontaneously rupture. Which action should the nurse do first after this occurs?
A) Turn the patient onto the left side. B) Assess fetal heart rate for fetal safety. C) Test a sample of amniotic fluid for protein. D) Instruct to bear down with the next contraction.
The nurse is aware that patients who have chronic gastritis from renal failure may present with the first sign of this disorder as:
a. an increase in the WBC count. b. sudden massive hemorrhage. c. asthma-like symptoms. d. extreme dyspnea.
Mrs. Lee tells the nurse who asks why she ate so little of the food on her tray that her condition requires "hot" foods, so she ate only the "hot" foods on the tray
The nurse notices that several items the patient left on the tray were served hot, and several of the foods the patient ate were served cold. The nurse should a. tell the dietary department to make sure Mrs. Lee's foods are hot when served. b. check Mrs. Lee's menu choices and change choices from cold entrees to hot entrees. c. tell Mrs. Lee that no hospital food service serves entrees as hot as she may fix at home. d. ask Mrs. Lee to make a list of foods she believes would help her condition.
The nurse is educating a patient about his role in wound healing. Which of the following factors, if modified by the patient, can support adequate oxygenation at the tissue level?
a. Age b. Smoking c. Underlying cardiopulmonary conditions d. Hemoglobin