The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST segment has returned to baseline. How should the nurse interpret this finding?
1. The spasm in the coronary artery has resolved.
2. The myocardial injury is evolving.
3. The patient has become more relaxed.
4. The blocked artery has been reperfused.
4
Rationale 1: This is not what the electrocardiogram tracing is indicating.
Rationale 2: This is not what the electrocardiogram tracing is indicating.
Rationale 3: This is not what the electrocardiogram tracing is indicating.
Rationale 4: Early reperfusion can resolve coronary ischemia.
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Mrs. Reilly brings her 6-year-old daughter in with complaints of a foul vaginal discharge noted in her underpants. The most common cause of a foul vaginal discharge in children is a(n):
a. accident. b. foreign body. c. infection. d. ruptured hymen.
The goal of humanistic nursing is attainment of:
a. well-being b. health c. dynamic "more-being" d. identity clarification
When assessing a child with coarctation of the aorta, the nurse should perform assessments to all of the follow areas except:
1. Blood pressure in all of the extremities. 2. Monitoring the perfusion to the extremities. 3. Pre-assessment for Digoxin before giving the prescribed doses. 4. Assessing the narrowing pulse pressures.
Which maternal–child client should the nurse see first?
1. Blood type B, Rh-positive 2. Blood type O, Rh-negative 3. Direct Coombs test positive 4. Indirect Coombs test negative