A client is admitted for complaints of chest pain and aching for the past 4 days. the results for serum creatine kinase-MB (CK-MB) and troponin are obtained. What rationale should the nurse use to evaluate the laboratory findings?
A. serum myoglobin levels are needed to confirm myocardial damage
B. myocardial damage that occurred several days earlier is best validated by serum troponin levels
C. the most reliable indicator of myocardial necrosis is serum CK-MB
D. serum cardiac markers are inconclusive in determining myocardial injury after waiting several days
Ans: B. myocardial damage that occurred several days earlier is best validated by serum troponin levels
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A 72-year-old woman with a recent onset of syncopal episodes has been referred to a cardiologist by her family physician
As part of the client's diagnostic workup, the cardiologist has ordered her to wear a Holter monitor for 24 hours. Which of the following statements best captures an aspect of Holter monitoring? A) A Holter monitor is preferable to standard ECG due to its increased sensitivity to cardiac electrical activity. B) The primary goal is to allow the cardiologist to accurately diagnose cardiomyopathies. C) Accurate interpretation of the results requires correlating the findings with activity that the woman was doing at the time of recording. D) Holter monitors are normally set to record electrical activity of the heart at least once per hour.
A nurse researcher is working with students experiencing test anxiety. The nurse has the students take a test while she watches through a two-way mirror. What does this approach incorporate? (Select all that apply.)
a. Observation b. Interviewing c. Reactivity d. Structured interviewing e. Concealment
A nurse is asked to consult with the local domestic violence shelter. The shelter workers state that women of Hispanic descent do not use the services offered
One worker states, "You know, with all that Hispanic machismo you can bet that those women are probably being abused.". The nurse recognizes that: A) The agency should advertise its services in the local newspaper. B) The agency should place flyers in the local schools. C) The agency needs help to promote culturally competent values, policy, structures, and practices. D) The agency should add a Spanish greeting to the agency's phone message.
The nurse, administering an infusion of vancomycin, will observe the client for which symptoms of red man syndrome?
Standard Text: Select all that apply. 1. Reddening of the upper body 2. Hypotension 3. Reflex tachycardia 4. Headache 5. Seizure