A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)

Myoglobin

Plasma low-density lipoproteins (LDL)

Troponin T

Troponin I

Answer and Explanation

Correct Answer : A,C,D

A. Myoglobin is an early biomarker for myocardial injury and can be used for initial detection of myocardial infarction. However, it is less specific than troponins.
B. Plasma low-density lipoproteins (LDL) are associated with cardiovascular risk but are not used to diagnose an acute myocardial infarction.
C. Troponin T is a highly specific biomarker for myocardial infarction and is used to confirm the diagnosis of an MI.
D. Troponin I is another highly specific biomarker for myocardial infarction and is used to confirm the diagnosis of an MI.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Slurred speech can indicate increased ICP as it may affect neurological function.

B. Headache is a common symptom of increased ICP.

C. Pupillary changes can indicate increased ICP, affecting cranial nerve function.

D. Neck pain and stiffness are more associated with meningitis or other conditions, not specifically increased ICP.

E. Disorientation can be a sign of increased ICP affecting brain function.

A. Obtain a cardiology consult. B. Perform pre-oxygenation prior to suctioning. C. Administer an antidysrhythmic medication. D. Suction the client less frequently.

Correct Answer is B

Explanation

A. Obtain a cardiology consult is not an immediate action for an irregular heart rate during suctioning; it is a more long-term consideration.

B. Perform pre-oxygenation prior to suctioning is the correct action to prevent hypoxia, which can cause increased heart rate and irregular rhythms during suctioning.

C. Administer an antidysrhythmic medication is not appropriate for the immediate concern of heart rate changes during suctioning.

D. Suction the client less frequently does not address the acute problem of the irregular heart rate; pre-oxygenation before suctioning is more relevant.

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A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential, non-essential, or contraindicated for the client.

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