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 B
Explanation
A. Instructing the client on the use of crutches is important but not as immediately critical as monitoring for complications.
B. Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.
C. Medicating the client for pain is important but secondary to immediate assessment for complications.
D. Directing the client to perform exercises of the ankle and toes is important for recovery but not as urgent as monitoring for postoperative complications.
Correct Answer is B
Explanation
A. First-degree AV block shows a prolonged PR interval but not necessarily an irregular heart rate or a significant pulse deficit.
B. Atrial fibrillation is characterized by a rapid and irregular heart rate with a significant pulse deficit, which aligns with the client's symptoms.
C. Sinus tachycardia presents with a rapid but regular heart rate, not irregular palpitations.
D. Sinus bradycardia shows a slow heart rate and is not associated with an irregular heart rate or significant pulse deficit.
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