Identify the key indicators of acute myocardial infarction (AMI)
What will be an ideal response?
Suggested response: In the presence of acute onset of symptoms consistent with acute coronary syndrome, including chest pain or sudden collapse, other indicators include: on 12-lead ECG, ST-segment elevation of ≥1 mm in two or more contiguous limb leads and/or ≥2 mm in two or more contiguous chest leads or new left bundle branch block; a significant change in high sensitivity cardiac troponin level ≥99th percentile or ≥50% change. Where symptoms occurred 12–24 hours prior, a 12-lead ECG shows Q waves and development of T-wave inversion and creatine kinase-MB is elevated.
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A client who has been homeless for the last 3 years states he is a loner. He lost contact with his
family and is suspicious of anyone who approaches him. He has had several psychiatric admissions, but after discharge stops taking medication and does not keep aftercare appointments. The illness symptom that may actually contribute to his ability to survive on the streets is his a. suspiciousness. b. ability to relate. c. self-confidence. d. assertiveness.
A hearing-impaired patient is scheduled to have an MRI. What would be important for the nurse to remember when caring for this patient?
A) Patient is likely unable to hear the nurse during test. B) A person adept in sign language must be present during test. C) Lip reading will be the method of communication that is necessary. D) The nurse should interact with the patient like any other patient.
An older patient who was recently admitted to the subacute setting after having a knee replacement, is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?
a. Share with the patient that it's important to get out of bed and that there is pain medication available if it does hurt b. Use the Hoyer lift to get her out of bed so that the knee will not experience much move-ment and so there will be little pain. c. Offer pain medication, administer the medication, and wait 20 minutes before getting her out of bed. d. Allow the patient to remain in bed but share that getting up will be required at least twice a day starting the next morning.
The nurse is teaching a client about his fenestrated tracheostomy tube. Which statement by the client indicates an accurate understanding of the tube?
a. "I'm glad I will still be able to talk with this tube in place." b. "It is great that this tube does not have to be cleaned regularly." c. "This tube will not get dislodged because it never needs suctioning." d. "Because I can't swallow, I will need another tube for eating."