A nurse in the emergency department is admitting a client.
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.
Provider consult
Client's initial report of manifestations
Treadmill stress test
Result of nitroglycerin therapy
12 Lead EKG report
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Skeletal pain: Paget's disease of the bone often results in bone pain due to the excessive breakdown and regrowth of bone tissue.
B. Waddling gait: The disease can cause leg bones to bend, leading to a waddling gait.
C. Cranial enlargement: Overgrowth of bone in the skull can occur, potentially leading to cranial enlargement.
D. Vision deficits: When Paget's disease affects the skull, it can put pressure on nerves, possibly leading to vision deficits.
E. Cold extremities: This is not a typical symptom of Paget's disease of the bone and is therefore not a correct answer. Cold extremities are more commonly associated with peripheral vascular diseases rather than Paget's disease.
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.
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