A 55-year-old client who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The nurse encourages the client to be admitted because he knows that within the first 24 hours of a MI, there is a high risk for which of the following?

ventricular aneurysm

heart failure

pulmonary embolism

dysrhythmia

Answer and Explanation

The Correct Answer is D

A. Ventricular aneurysm. Ventricular aneurysms are a complication that typically develops weeks or months after an MI.

B. Heart failure. While heart failure is a risk following an MI, it is more of a concern in the longer term after the acute phase.

C. Pulmonary embolism. Pulmonary embolism is not a direct complication of MI and is less common in the immediate post-MI period.

D. Dysrhythmia: Within the first 24 hours following a myocardial infarction, dysrhythmias, particularly ventricular arrhythmias, are common and can be life-threatening. This is the highest risk during the early period after MI.

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Correct Answer is ["A","C","D"]

Explanation

A. Pharmacological toxins can contribute to myocarditis, as certain drugs may induce inflammatory responses in the myocardium.

B. Pleural infusion is incorrect. Pleural infusion, or pleural effusion, is not directly associated with myocarditis.

C. Autoimmune disorders such as lupus and rheumatoid arthritis can predispose individuals to myocarditis due to immune system dysregulation.

D. Viral infections are a major cause of myocarditis, particularly infections like coxsackievirus, parvovirus B19, and HIV.

E. Peripheral vascular disease is incorrect. While peripheral vascular disease is related to poor circulation, it does not directly contribute to the development of myocarditis.

A. Insertion of central venous access B. Phlebotomy C. Fasciotomy D. Insertion of arterial line

Correct Answer is C

Explanation

A. Insertion of central venous access: This is not relevant to compartment syndrome management. Central venous access is used for fluid administration or monitoring central venous pressure.

B. Phlebotomy: This is unrelated to the management of compartment syndrome, as it involves drawing blood and does not address the increased pressure.

C. Fasciotomy: Compartment syndrome is a medical emergency where increased pressure within a closed compartment compromises circulation and tissue function. A fasciotomy involves surgically opening the compartment to relieve the pressure, prevent tissue necrosis, and save the limb. This is the definitive treatment.

D. Insertion of arterial line: While this may be useful for monitoring blood pressure in critical situations, it does not relieve compartment syndrome.

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A 55-year-old client who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The nurse encourages the client to be admitted because he knows that within the first 24 hours of a MI, there is a high risk for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of staff nurses about myocarditis. What would the nurse identify as being potential risk factors for this condition? Select All That Apply

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client who sustained a crushed injury to the lower extremity and has developed compartment syndrome. What intervention should the nurse plan for next?

Correct Answer is C

Explanation

The nurse is caring for a client who reports persistent, crushing chest pain. What additional signs or symptoms would make a nurse suspect that the client is experiencing a myocardial infarction?

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The nurse is assigned to the cardiac unit caring for four clients. He is preparing to do initial rounds. Which client should the nurse assess first?

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The nurse is caring for a client with advanced coronary artery disease who has developed cardiac arrest. During the resuscitation, the health care provider prescribes atropine. Which is the intended outcome of this medication?