ATI RN Custom Cardiovascular Med Surg | Nurselytic

Questions 29

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ATI RN Custom Cardiovascular Med Surg Questions

Question 1 of 5

A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in determining whether the patient has had an AMI?

Correct Answer: Cardiac-specific troponin is a protein that is released into the bloodstream when there is damage to the heart muscle, such as during an acute myocardial infarction (AMI). It is considered the most specific marker for AMI because it is found only in heart muscle.

Rationale:

Question 2 of 5

Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?

Correct Answer: Limiting salt and fluid intake is crucial for patients with restrictive cardiomyopathy to manage their condition. Avoiding aspirin, taking antibiotics, and restarting exercise are not specific to this condition's self-management.

Rationale:

Question 3 of 5

A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?

Correct Answer: The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms. Aspirin use, allergies, and pain severity are less relevant for eligibility.

Rationale:

Question 4 of 5

The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?

Correct Answer: Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI). Pain with deep breathing, relief with nitroglycerin, or reproducibility with arm movement suggests other causes.

Rationale:

Question 5 of 5

Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?

Correct Answer: If chest pain is not relieved 5 minutes after taking nitroglycerin, it is recommended to call an ambulance. Nausea is not a common side effect, nitroglycerin should be stored in a dark place, and it can also be taken prophylactically.

Rationale:

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