Management Of Clients With Myocardial Infarction

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Question 1
Free
Multiple Choice

After instructing a client with stable angina, the nurse would evaluate that the client has a proper understanding of the condition when the client says

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A

"Angina pain usually feels like being stabbed with a knife."

B

"Each time I have angina, my heart is damaged."

C

"If I have chest pain, then I'm probably having another heart attack."

D

"My chest pain can occur if I overexert myself."

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Question 2
Free
Multiple Choice

A client admitted for angina reports experiencing pain of long duration while at rest and also early in the morning. The nurse would recognize this pattern as

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A

angina decubitus.

B

nocturnal angina.

C

unstable angina.

D

variant angina.

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Question 3
Free
Multiple Choice

A nurse is instructing a client in the proper administration of sublingual nitroglycerin (NTG). The nurse would include in the teaching plan information that the client should

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A

assess blood pressure for reactive hypertension after each dose.

B

repeat the dosage every 5 minutes for three times if pain is not relieved.

C

store NTG tablets in the refrigerator for up to 6 months.

D

take an aspirin before taking the first dose of NTG.

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Question 4
Free
Multiple Choice

A home health care nurse is visiting a client who was dismissed after having an STEMI (ST-elevation myocardial infarction). The nurse is reinforcing teaching done while the client was hospitalized. When the nurse asks the client if he/she has any more questions, the client says no but appears anxious. The best action by the nurse would be to

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A

ask the client if he/she has questions about resuming sexual activity.

B

find out if the client is worried about being at home instead of in the hospital.

C

inquire about the feasibility of the client returning to his/her old job after recovery.

D

speak with the spouse privately to see if she/he knows why the client is anxious.

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Question 5
Free
Multiple Choice

A nurse is reinforcing diet teaching done by the dietitian. The nurse would evaluate that some goals have been met when the client admitted for angina requests which foods for breakfast?

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A

Bran flakes with skim milk, apple slices, and orange juice

B

French toast with syrup, grapefruit half, and skim milk

C

Oatmeal with skim milk, one bacon slice, and hot tea

D

Scrambled eggs, whole-wheat toast, and prune juice

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Question 6
Multiple Choice

A client presents to the emergency department complaining of chest pain that began 2 hours earlier; the client's electrocardiogram (ECG) is consistent with acute myocardial infarction. The nurse would know that the standard treatment at this time is

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A
diazepam.
B
lidocaine.
C
streptokinase.
D
verapamil.
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Question 7
Multiple Choice

The nurse would explain to a client that the most common site for MI is the

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A
anterior wall of the left ventricle.
B
anterior wall of the right ventricle.
C
inferior (diaphragmatic) surface.
D
posterior wall of the left ventricle.
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Question 8
Multiple Choice

Four hours after the onset of pain from an MI, the nurse would expect an increase in which laboratory result?

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A
Alkaline phosphatase (ALP)
B
CK-MB
C
Lactate dehydrogenase (LDH)
D
Leukocyte count
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Question 9
Multiple Choice

A client has received thrombolytic therapy after an ST segment myocardial infarction (STEMI). A half-hour later, the nurse notices frequent PVCs. The most appropriate action by the nurse is to

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A
administer lidocaine per the dysrhythmia protocol.
B
document the finding and conclude the therapy worked.
C
prepare to send the client for emergent PTCA.
D
request an order for an anxiolytic medication.
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Question 10
Multiple Choice

When caring for a client immediately after an MI, the nurse's first priority would be

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A
monitoring for dysrhythmias.
B
preventing an embolism.
C
relieving pain.
D
relieving the client's apprehension.
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Question 11
Multiple Choice

When the nurse notes a run of four premature ventricular contractions (PVCs) on the monitor of a client with a recent MI, the nurse would

Choose correct answer/s
A
administer sublingual nitroglycerin.
B
change the client's ECG leads.
C
continue observing for six PVCs or more.
D
notify the physician immediately.
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Question 12
Multiple Choice

When the immediate post-MI client complains about the high-fiber diet and being encouraged to drink water, the nurse would inform the client that the purpose of such a diet is to

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A
create a high-bulk, soft stool.
B
lower cholesterol levels.
C
maintain bowel health to decrease gas.
D
promote easy digestion.
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Question 13
Multiple Choice

For a 40-year-old client who wants to be more active the first 24 hours after an MI, the nurse could safely suggest that the client

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A
ambulate in the hall with supervision.
B
perform gentle isometric exercises.
C
take a bath in the shower.
D
use the bedside commode for bowel movements.
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Question 14
Multiple Choice

In the discharge teaching plan for a client after MI, the nurse would include that the client should

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A
begin walking for short periods every day.
B
continue previous lifestyle when ready.
C
resume sexual intercourse in 3 months.
D
take 1 aspirin every 8 hours as ordered.
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Question 15
Multiple Choice

The nurse would remind a client that the cause of sudden death after myocardial infarction is usually

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A
congestive heart failure.
B
dysrhythmias.
C
myocardial ischemia.
D
stroke.
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Question 16
Multiple Choice

The nurse would explain to a client that increased levels of troponin I are evident within

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A
1 to 2 hours after MI pain has started.
B
3 to 12 hours after MI pain has started.
C
7 to 9 hours after MI pain has started.
D
12 to 15 hours after MI pain has started.
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Question 17
Multiple Choice

For a client whose resting pulse rate is 71 beats/min, the nurse would check the client's pulse rate to ensure that during post-MI activities, the client's heart rate does not exceed

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A
89 beats/min.
B
96 beats/min.
C
101 beats/min.
D
112 beats/min.
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Question 18
Multiple Choice

In order to be most effective, the nurse planning a new cardiac rehabilitation program for the community hospital realizes to be most successful, the program

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A
cannot begin until the clients go home.
B
needs to be cost-effective.
C
only should address physical problems.
D
should use a case management approach.
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Question 19
Multiple Choice

A client is scheduled for the "early release" discharge after suffering an STEMI. Which action by the nurse would most facilitate a successful outcome after discharge?

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A
Arranging to have all medications delivered to the home
B
Referring the client for home health care visits
C
Reviewing the client's medications before discharge
D
Teaching the client to monitor his/her own blood pressure
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Question 20
Multiple Choice

A nurse is visiting a client in the home 3 weeks after having an STEMI. The client appears distressed and the spouse is nervously hovering nearby. Which assessment by the nurse would provide the most useful data? The nurse should inquire if

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A
neighbors have been dropping by and fatiguing the client.
B
the client is able to adhere to the prescribed exercise routine.
C
the spouse is able to shop for and prepare appropriate foods.
D
there are fears that allowing the client activity may provoke another MI.
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