A patient comes into the emergency department with complaints of chest pains. An ECG reveals an acute myocardial infarction taking place. You would expect the physician to take which ac-tion?
1. Send the patient directly to the cardiac unit for follow-up care.
2. Give the patient one aspirin and repeat the ECG.
3. Administer a thrombolytic agent for lysis of thrombi.
4. Administer heparin only to prevent potential bleeding of coronary arteries.
3
Thrombolytic agents are used in acute myocardial infarction for lysis of thrombi blocking coro-nary arteries.
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The nurse is caring for a patient receiving an antineoplastic medication IV. While the medication is infusing, the IV needle becomes dislodged and goes in to the tissue. What is the highest priority for this patient at this time?
a. Call the physician on call to report the occurrence. b. Inject medication immediately into the skin to counter the effect of the medication. c. Elevate the affected IV site and apply ice. d. Place the affected site into a dependent position.
The nurse is caring for a patient with no history of diabetes who has a new laboratory finding of a glycosylated hemoglobin (A1C) level of 6.0%. Which nursing diagnoses should receive priority for this patient?
1. Deficient Knowledge regarding disease process 2. Risk for Deficient Fluid Volume 3. Risk for Impaired Skin Integrity 4. Ineffective Tissue Perfusion
The nurse notes an elevated irregular darkened area of excess scar tissue on a client. Which term should the nurse use to document the finding?
A. Keloid. B. Ulcer. C. Fissure. D. Scar.
The client is recovering from a fractured left femur, and has just had the cast removed. Which technique is the most appropriate for the nurse to use when assisting this client to ambulate?
1. Standing on the client's left side 2. Standing on the client's right side 3. Standing behind the client and holding the client's belt 4. Standing in front of the client and having the client lean on the nurse's shoulders