Which is a priority action by the nurse when a patient is admitted with a diagnosis of acute myocardial infarction?

a. Administration of antibiotics within 4 hours
b. Chest radiograph
c. Administration of aspirin on arrival
d. Administration of a beta-blocker on arrival


C

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A This does not apply.
B This is not a standard for best practice.
C The American Heart Association/American College of Cardiology (AHA/ACC)'s standards of practice are based on evidence and recommend the administration of an aspirin on arrival or even in transit by the emergency med-ical technician.
D The standard recommends administration of a beta-blocker within 24 hours of admission. The patient requires a complete diagnostic assessment before a be-ta-blocker can safely be administered.

Nursing

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A patient is discharged with octreotide (Sandostatin) and has been given minimal patient teaching. What is the most important aspect of patient teaching for this patient?

A) The importance of maintaining a diet high in fiber B) The administration of subcutaneous injections C) The concurrent use of bismuth subsalicylate and octreotide D) The administration of morphine to decrease pain

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The nurse manager is counseling a staff nurse who demonstrated reckless behavior. What should the manager say when meeting with this nurse?

1. "I have a handout that can help you." 2. "I realize that the design of the patient rooms contributed to the error." 3. "What outcomes do you think can occur if this happens again in the future?" 4. "This is the second time this has occurred and I think a few days off might be needed."

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The patient is to receive a buccal medication. Which information does the nurse include in patient teaching?

a. Hold the medication under the tongue. b. Chew the medication before swallowing. c. Swallow the medication after 30 seconds. d. Hold the medication between the cheek and gums until it dissolves.

Nursing

Which of the following represents age-related changes in the lungs?

A) Decrease in chest wall compliance B) Speed of expiration increases C) Increase in respiratory muscle strength D) Increased elastic recoil of lung tissue

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