A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)
Orthopnea
Diaphoresis
Nausea
Headache
Tachycardia
Correct Answer : B,C,E
A. Orthopnea is difficulty breathing while lying flat, and it is typically associated with heart failure or pulmonary conditions, not an acute MI.
B. Diaphoresis (excessive sweating) is a common symptom of an acute MI due to the body's stress response to the myocardial injury.
C. Nausea can occur during an acute MI, particularly in women, as a result of the stress response or ischemia affecting the gastrointestinal system.
D. Headache is not a typical symptom of an acute MI. While it can occur due to stress or other factors, it is not a hallmark of myocardial infarction.
E. Tachycardia (increased heart rate) is a common response to an acute MI as the body attempts to compensate for reduced cardiac output and oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
- Atrial fibrillation is characterized by an irregular, often rapid heart rate that can lead to poor blood flow. The client's symptoms of a "fluttering" and "racing" heartbeat, dizziness, and shortness of breath, along with the irregular cardiac rhythm and unclear P waves, are indicative of atrial fibrillation.
- Obtaining a 12 lead ECG is essential to confirm the diagnosis and assess the extent of the arrhythmia.
- Administering an anticoagulant is crucial to prevent thromboembolic events, such as stroke, which are common complications of atrial fibrillation.
- Monitoring for manifestations of stroke is important because atrial fibrillation increases the risk of stroke.
- PT/INR should be monitored to ensure the effectiveness and safety of anticoagulant therapy.
Correct Answer is D
Explanation
A. Sodium bicarbonate is typically used in cases of metabolic acidosis, especially during prolonged resuscitation efforts. It is not the first-line medication for symptomatic bradycardia.
B. Magnesium is used in cases of torsades de pointes or other arrhythmias associated with low magnesium levels. It is not indicated for symptomatic bradycardia.
C. Epinephrine is used in cases of cardiac arrest to stimulate the heart and improve perfusion, but it is not the first-line treatment for symptomatic bradycardia.
D. Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the parasympathetic effects on the heart, increasing heart rate. This is especially useful in bradycardia that is causing symptoms like hypotension or altered mental status.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.