A client with an acute myocardial infarction (MI) is given a thrombolytic medication, aspirin, and IV heparin in the emergency department. Which finding indicates the client is having a satisfactory response?
Activated partial thromboplastin time (aPTT) is 2 times the control value.
S3 heart sounds are present with auscultation.
Cardiac tracing shows 1.2 mm wide Q waves half the height of the complex.
Guaiac test of the stools is positive.
The Correct Answer is A
A. An aPTT that is 2 times the control value indicates that the heparin is effectively anticoagulating the blood, which is a desired outcome in managing MI to prevent clot formation.
B. S3 heart sounds can indicate heart failure and are not a sign of a satisfactory response to MI treatment.
C. Wide Q waves indicate a previous infarction but do not reflect the immediate effectiveness of the treatment.
D. A positive guaiac test indicates gastrointestinal bleeding, which is a potential complication rather than a satisfactory response.
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Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
A. Given the client's chronic kidney disease and the risk of fluid overload, a high rate of normal saline infusion may not be appropriate without careful assessment and specific indication from the healthcare provider.
B. Monitoring daily weight is essential in managing fluid balance and assessing for potential fluid overload, especially in a child with chronic kidney disease.
C. Accurate measurement of intake and output is crucial in managing fluid balance and monitoring kidney function, particularly in a patient with a history of acute kidney injury and chronic kidney disease.
D. The client already has an elevated potassium level, and administering a potassium-sparing diuretic could worsen hyperkalemia, leading to dangerous cardiac complications.
E. Continuous monitoring of oxygen saturation is important due to the presence of bibasilar infiltrates on the chest X-ray, which could indicate a potential respiratory issue.
F. ECG monitoring is indicated due to the elevated potassium level (5.3 mEq/L), which can cause cardiac arrhythmias. The irregular heart rate further supports the need for ECG monitoring.
Correct Answer is ["A","D","E"]
Explanation
Rationale:
1. Working with an addiction therapist for several months will assist in my recovery. This statement reflects an acknowledgment of the importance of therapy in her recovery process, indicating an understanding of the treatment plan.
2. The Alcoholics Anonymous program would be a great resource, but they do not have meetings when I'm free.
While it acknowledges AA as a resource, it doesn't show an understanding of prioritizing meetings or seeking alternative solutions.
3. It is not safe for me to drink alcohol, but I am still able to smoke marijuana without problems.
This indicates a misconception; if alcohol is unsafe, other substances likely are too.
4. Identifying potential triggers allows me to proactively utilize coping strategies.
This statement demonstrates an understanding of the importance of identifying triggers and implementing coping strategies to prevent relapse, indicating engagement in the treatment process.
5. Relapse is an expected complication of substance use; thus, prevention strategies and awareness of my emotions are important.
Acknowledging relapse as a potential complication and recognizing the importance of prevention strategies and emotional awareness indicates a realistic understanding of the challenges associated with recovery.
6. The treatment options for alcoholism are limited to inpatients, with very few resources for outpatients.
This is factually incorrect and doesn't show understanding of the variety of treatment options available.
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