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A nurse in the emergency department is admitting a client.

Exhibits

For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

A.

Provider consult

B.

Client's initial report of manifestations

C.

Treadmill stress test

D.

Result of nitroglycerin therapy

E.

12 Lead EKG report

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}

1. Provider Consult

Angina: Not typically associated with immediate provider consultation.

MI: Requires immediate consultation for treatment decisions, such as medication or interventions.

2. Client's Initial Report of Manifestations

Angina: Can present with discomfort or pressure that is transient and relieved by rest or nitroglycerin.

MI: Can present similarly but is often more severe and sustained; discomfort may be a precursor to a myocardial infarction.

3. Treadmill Stress Test

Angina: Often used to provoke symptoms under controlled conditions for diagnosis.

MI: Not used during an acute phase; rather, diagnostics are performed through EKG and cardiac enzyme tests.

4. Result of Nitroglycerin Therapy

Angina: Relief from nitroglycerin indicates angina.

MI: Nitroglycerin might not provide relief; other treatments and diagnostics are needed.

5. 12 Lead EKG Report

Angina: ST depression and T-wave inversion can occur with angina.

MI: These EKG changes can indicate ischemia, which could be part of an acute MI if accompanied by other severe symptoms or in the presence of persistent symptoms.


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Related Questions

Correct Answer is D

Explanation

A. Carvedilol does not significantly increase the risk of rhabdomyolysis when used with colchicine.

B. Omeprazole does not interact with colchicine in a way that increases the risk of rhabdomyolysis.

C. Hydrochlorothiazide does not have a known interaction with colchicine that significantly increases the risk of rhabdomyolysis.

D. Atorvastatin increases the risk of rhabdomyolysis when used with colchicine, as both can contribute to muscle damage.

Correct Answer is B

Explanation

A. Learning to control impulsive behavior is more relevant for a right hemispheric CVA, which affects impulse control and judgment.

B. Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.

C. Compensating for loss of depth perception is related to right hemispheric CVA, which affects spatial awareness and perception.

D. Improving left-side motor function is important but secondary to addressing communication issues in a left hemispheric CVA where language deficits are a priority.

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