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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Encephalopathy is correct.
Rational: The client is experiencing alterations in their level of consciousness and has an elevated ammonia level. Encephalopathy is indicative of liver failure due to cirrhosis.
Finding
Ammonia level is correct.
Rational: The client is experiencing encephalopathy which can be a result of an elevated ammonia level. An elevated ammonia level is indicative of liver failure due to cirrhosis.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
- Incisional Site Bleeding: This is important to check as it indicates possible complications like infection or hematoma formation at the pacemaker insertion site.
- Bradycardia: It is essential to ensure that the pacemaker is functioning correctly and managing bradycardia as intended. Continuous monitoring is needed to detect any issues related to pacemaker settings or lead placements.
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