A patient's cTnT level is 1.2 mcg/L and there are ST segment elevations on the electrocardiogram. The nurse realizes this patient is demonstrating which of the following?
1. NSTEMI
2. STEMI
3. UA
4. stable angina
2
Rationale: Patients with ST segment elevation and the presence of serum cardiac markers are diagnosed as having ST elevation MI or STEMI. Patients with ischemic ST segment changes and the presence of serum cardiac markers are diagnosed as having non-ST elevation myocardial infarction or NSTEMI. Patients with electrocardiogram changes suggestive of ischemia, but without the presence of serum biomarkers, are diagnosed as having unstable angina or UA. ST segment elevations and the presence of cardiac markers are not seen in stable angina.
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1. Protein intake should be restricted. 2. Calories should be limited because of reduced activity. 3. Carbohydrate intake should be restricted. 4. Daily caloric intake should be increased.
A nurse is working as a case manager, and in this role she audits charts. Audits of client records are performed primarily for quality assurance and:
A) reimbursement B) staff development C) research D) change of mechanisms
When positioning a patient who has had an amputation of a lower extremity, why is it important to avoid hip abduction and flexion?
A) Because these motions place the patient at risk of developing a blood clot B) Because these motions will exacerbate phantom pain C) Because the hip on the affected side will become contracted D) Because these movements will prevent the stump from healing in the proper shape
When the client describes fear of leaving his apartment as well as the desire to get out and meet others, it is called
a. ambivalence. b. anhedonia. c. alogia. d. Avoidance