A client suspected of having an acute myocardial infarction (MI) has cardiac enzymes drawn about 5 hours after symptoms presented. Which of these values would confirm the client had an MI?
a. elevated CPK c. elevated LDH 5
b. elevated CK-BB d. LDH, less than LDH 2
A
CPK is the first enzyme that is elevated after MI and peaks within the first 24 hours.
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A patient is diagnosed with heart failure. She asks the nurse the cause of heart failure. Which of the following statements describes the cause of heart failure?
A) "Heart failure can be caused by atherosclerotic plaque due to high-fat diets." B) "Hypothyroidism will result in decreased heart rate and development of heart failure." C) "The administration of diuretics decreases blood volume, causing symptoms to develop." D) "The use of digoxin (Lanoxin) will slow heart rate to cause congestive heart failure."
The health care provider orders "Tylenol 2 tabs p.o. q4h PRN pain" in the client's medical record. Which action by the nurse is the most appropriate?
1. Accept the order as complete. 2. Clarify the dosage. 3. Clarify the frequency. 4. Clarify the client.
Which nursing actions are most important for a patient with a right radial arterial line? (Select all that apply.)
a. Checking the circulation to the right hand every 2 hours b. Maintaining a pressurized flush solution to the arterial line setup c. Monitoring the waveform on the monitor for dampening d. Restraining all four extremities with soft limb restraints
Which of the following was an unsuccessful attempt by the American Medical Association (AMA) to alleviate the nursing shortage of the time?
a. Creation of the nurse manager position b. Creation of the registered care technician c. Recruitment of RNs from English-speaking countries d. Redistribution of qualified nurses to certain geographic locations